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2021-2023 Nihongo Hiroba
Please fill out the application form relating to the child that will be joining Nihongo Hiroba.
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Email
*
Your email
Name
*
Your answer
Date of Birth (year/month/day)
*
Your answer
Sex
*
Male
Female
Age
*
Your answer
School year
*
Choose
Kindergarten / Nursery school
1st grade of primary school(elementary school)
2nd grade of primary school(elementary school)
3rd grade of primary school(elementary school)
4th grade of primary school(elementary school)
5th grade of primary school(elementary school)
6th grade of primary school(elementary school)
1st grade of junior high school
2nd grade of junior high school
3rd grade of junior high school
1st grade of high school
2nd grade of high school
3rd grade of high school
Other
School name
*
Your answer
Residence Status
*
Choose
Permanent resident（永住者）
long-term resident（定住者）
dependent（家族滞在）
temporary visitor（短期滞在）
student（留学）
designated activites（特定活動）
other
Period of Stay（在留期間）(year/month~ year/month）
*
Your answer
Nationality
*
Your answer
What language do you understand?
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
When did you come to Japan?(year/month/day)
*
Your answer
What do you like? What are your hobbies?(study/sports/games etc..)
Your answer
Do you have any activities that you will like for us to conduct at the Nihongo Hiroba?
Your answer
Is there any personal information you don't want other class members to know?
*
Age
Nationality
Address
Religion
My family(mum, dad, siblings)
A disability
Other
Required
Is it OK for us to take pictures of you during the class? They may be posted on our website or used in promotional materials.
*
Yes
No
In order for us to provide you with better support would it be OK for us to share information on your child's study/life at home with school teachers?
*
Yes
No
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