Inquiry / Application

Inquiry
Free Trial
Application

Application

Please fill in the appropriate fields in the form and click “Confirm.”
Items marked【Required】must be filled out.

E-mail Address【Required】

Confirm E-mail Address【Required】

Name【Required】

Date of Birth【Required】

/ /

Nationality【Required】

Place of Residence

e.g. Tokyo

Occupation

Mail Order Business
Finance, Insurance
Telecommunications
Transportation
Travel
Manufacturing
Services
University student
Vocational College student
Graduate school student
Student of other type schools
Medical, Welfare
Construction, Real estate
Broadcasting, Publication, Media
Government Office
Local government
Education, Educational support
Unemployed
Others

Desired Lesson【Required】

Did you tale the free trial lesson?【Required】

Yes
No

*You can purchase the online coversation lesson after you take the free trial lesson.

Purchase Plan【Required】

Is this the first time to purchase Online Conversation Lesson?【Required】

Yes, I take lessons for the first time.
No. I have been taking lessons and continue it.

Do you continue on the same day, same time?【Required】

Yes, I continue on the same day, same time.
No, I want to change the day and time.

Start Date【Required】

*From 1st of every month

Choose Lesson Day & Time

Please choose the day and time for lessons. The lessons will be conducted on the same day and time every week.

Timetable (Japan Standard Time)
	Mon	Tue	Wed	Thu	Fri	Sat	Sun
AM9:00	×	○	○	○	×	○	×
AM10:00	×	○	○	○	×	○	×
AM11:00	×	○	○	○	×	○	×
PM12:00	×	○	○	○	×	○	×
PM2:00	○	×	○	○	○	○	×
PM3:00	○	×	○	○	○	○	×
PM4:00	○	×	○	○	○	○	×
PM5:00	○	×	○	○	○	○	×
PM6:00	○	×	○	○	○	○	×
PM7:00	○	×	○	○	○	○	×
PM8:00	○	×	○	○	○	○	×
PM9:00	○	×	○	○	○	○	×

We will decide your lesson day and time from your 1st choice

Desired day (1st choice)【Required】

Desired day (2nd choice)【Required】

Desired day (3rd choice)【Required】

Japanese Learning Experience【Required】

Self-Study
Private lessons
Language institute
College/University, High School, etc.

Period of Study【Required】

Less than 3 months
3 months ~ 6 months
6 months ~ 1 year
1 year ~ 3 years
More than 3 years

JLPT【Required】

Have you taken the Japanese Language Proficiency Test?
Yes
No

The year you took the test	*Please answer about the most recent test you took.
Level	N5 N4 N3 N2 N1 *Please check the most recent level you took.
Result	Passed Failed

Purpose【Required】

Improve Business Japanese Skills
Support for Creating Business Documents and E-mail.
Daily Conversation
Accent Reduction
Preparation for Japanese Qualification Test (JLPT etc.)
Entrance Exams
Job-hunting
Lifelong Learning & Hobby
Others

How did you learn about us?【Required】

Through our website
Facebook
From a friend
Web Advertisement
Others

Are you taking any other online lesson from our school?

Yes, I'm taking online conversation lesson.
Yes, I'm taking the online Japanese correction.
Yes, I'm taking the online grammar lesson.

Have you studied in our regular Japanese course (in person course)?【Required】

Yes No

Bonus for Graduates【Required】

Comments

<Terms>

The copyright of these contents are owned by Kyoto Institute of Culture and Language.
Therefore, you are prohibited by all terms to copy, alter, reprint or spread the contents on the internet, or allow it to be viewed by an unspecified large number of people.
All use for commercial purposes is also prohibited. Failure to abide by these will result in punishment by law.

In accordance with the prohibition of the following conduct, should any transgression be discovered, regardless of the number of remaining lectures, any further use of the online course will be denied. Consequently, there will be no refunds.

- Criminal acts or conduct in violation of public order and decency
- Disclosing of assignments or correction outcomes to a third party

I agree with the above terms.