Application form　お申込書  (FY2022)
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1. Name (日本の方は日本語と英語両方ご記入ください) *
2. Faculty（学部） *
3. Email (Eメール)  
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4. ELMS ID for students (ELMS ID for students has 10 characters, including 8 digits (student number) and two alphabets (one before and one after the digits), for example:  a12345678b) or SSO/staff ID (for researchers/faculty members)　ELMS ID (学生番号の前後にアルファベットが記載された10桁のID) か SSO ID (職員番号8桁のID)?  
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5. Position/grade (身分)?  
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6．Are you a student at Nitobe college? (新渡戸カレッジの学生ですか。）  
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7. If you are a faculty member in the Faculty of Medicine and Graduate School of Medicine, would you like to receive FD points? (FDポイント　教員の場合、FDポイントが必要ですか。)  
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8. How did you hear about this event? (このイベントをどのように知りましたか。)  
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9. Have you ever had any conference presentations in English (これまで英語で学会発表をしたことがありますか。)  
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10. In the case of "yes" to question 9, how many times? 9の質問で「はい」の場合、何回したことがありますか。  
11. Have you ever written any manuscripts/papers in English? (英語で論文を書いたことがありますか。)  
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12. In the case of answer "yes" to question 11, how many manuscripts/papers? (11の質問で「はい」の場合、何本書いたことがありますか。  
13. Which one of the following webinars would you like to participate in (you can choose more than one)? (下のどのウェビナーに参加しますか？複数お選びいただけます）  
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