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Application for the Creative Dialogue
※An application must be filled out completely in English by the applicant.
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* Indicates required question
Full name
*
Your answer
Nationality
*
Your answer
Your age ( 5-25 years)
*
Your answer
E-mail address
*
Your answer
English level (at least conversational level required)
*
Native
Fluent
Conversational
Beginner
Not at all
I am not sure
Required
Your background.
*
Your answer
Please tell us what you are interested in, what your strength is.
*
Your answer
If you are under 18 years, does your parents know that you will participate this online sessions? ( we will choose participants who has an agreement with their parents preferentially.)
Yes
No
I am not sure.
Other
How did you know this online sessions?
*
Your answer
Can you join the online sessions with a video camera? (Then all participants can see each other)
*
Yes
No
I am not sure
Please tell use your motivation, ideas and topics on this online sessions.
*
Your answer
Are you OK that there are some observers to join the online sessions?
*
Yes
No
Others
Required
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