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申し込みフォーム APPLICATION FORM
地域日本語講座@宮大 (2022.06~2023.03)
Chiiki Nihongo Course (2022 session) at the University of Miyazaki
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PERSONAL DETAILS
1.
名前 Full name (in English)
*
Your answer
2.
名前 ひらがなまたはカタカナ Full name in Hiragana or Katakana (if you can write)
Your answer
3.
ニックネーム Your nickname
Your answer
4.
性別 Gender
Male
Female
Other:
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5.
生年月日 Date of birth
MM
/
DD
/
YYYY
6.
国籍 Nationality
*
Your answer
7.
職業 Occupation:
*
学生 UoM student
家族 Family of UoM student
スタッフ UoM staff
教師 UoM teacher
Other:
8.
学生番号(宮崎大学の留学生) Student ID Number (if you are a UoM student)
Your answer
9.
メールアドレス Email address
*
Your answer
10.
郵便番号 Postal code
Your answer
11.
住所 Address
*
Your answer
12.
電話番号 Phone Number
Your answer
13.
代理人氏名(家族またはサポーター) Emergency contact person (family members or your supporter)
Your answer
14.
代理人・緊急連絡先(電話番号またはメールアドレス) Emergency contact address (phone number or E-mail address)
Your answer
15.
希望クラス Classes applied for
解説: 初級クラス Basic: for absolute beginner、初中級クラス Elementary & Intermediate: for people who can use Hiragana, Katakana at least、 JLPT対策 JLPT: for JLPT Test Preparation
初級クラス Basic
初中級クラス Elementary & Intermediate
JLPT対策 JLPT (後で選んでもいいです) You can decide on the class at a later date.
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[日本語について] YOUR JAPANESE
1.
母国語 Native language
*
Your answer
2.
その他話せる言葉 Other language(s) that you speak (If you have)
Your answer
3.
学習目的 What is your purpose to learn Japanese?
(Daily life /Work /Study /Interest /Other )
Your answer
4.
日本語の資格保有(例)JLPT N4 Qualification of your Japanese (e.g. JLPT N4)
Your answer
5.
日本語学習歴(年ヶ月) Background of your Japanese Study ( year(s) month(s))
Your answer
6.
ひらがな Hiragana
読める can read
読めない cannot read
書ける can write
書けない cannot write
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7.
カタカナ Katakana
読める can read
読めない cannot read
書ける can write
書けない cannot write
Clear selection
8.
漢字 Kanji
読める can read
読めない cannot read
書ける can write
書けない cannot write
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9.
来日年月日 When did you come to Japan?
*
MM
/
DD
/
YYYY
10.
在住歴 How long have you been living in Japan?
Your answer
11.
どのようにしてこの講座を知りましたか。 How did you know this class?
Your answer
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