Online Application

Non-Resident Application

Please fill out all applicable fields, and click the Submit button.
Please note: this form is only for students who have already been accepted to study at Genki Japanese language school!

1. Contact Information

Family name
First names
How is your full name pronounced (in Japanese, if you know)?
Occupation
Native language(s)

Home address 1
Home address 2
City
State/Prefecture
Zip/postal code
Country

Telephone
Cell Phone
Email

2. Japanese Level

Can you read hiragana/katakana?

Hiragana Katakana
Please note: if you can not read hiragana yet, please learn to do so before you arrive!

How have you studied Japanese before? Please include textbooks used, school or university study, and study in Japan at other language schools.

Check this box if you fit any of the following categories:
1. Have lived in Japan for more than a few months
2. Have close Japanese friends
3. Have taken regular private Japanese lessons

3. Course of Study

3.1 If you registered for the Japanese Plus Traditional Culture course, please select your interests from the list below:

Japanese flower arrangement
Japanese tea ceremony
Kimono
Calligraphy
Cooking
Ceramics
Other art
Military arts
Religion/spirituality
Customs

Have you ever studied any Japanese culture; if so, what?

3.2 If you registered for the Japanese Plus Pop Culture course, please select your interests from the list below:

Manga/Anime
Movies
Music
Television

Have you read Japanese manga, watched movies, or listened to Japanese music before? Please describe in as much detail as you can.

3.3 If you registered for the Japanese Plus Exams course, please list any Japanese exams you have passed (with scores, if possible):

If you are planning to take any further Japanese exams, please list them:

4. Accommodation Preferences

Fill out this section if you requested GenkiJACS to arrange your accommodation.

Vegetarian meals (if so, give details)


Pet allergies (if so, give details)


I am a smoker.
I want to stay in non-smoking accommodation.

Other requests (please give details)

5. Medical Information

If you have any medical conditions that might require special attention at school or at your accommodation, please include them here. This information will be shared with school staff and your accommodation administrator, as necessary:

Would you like GenkiJACS to introduce you to Japanese people who are interested in inter-cultural/language exchange? (If checked, after receiving your approval, we may provide your personal information to selected Japanese people, for them to contact you.)

Any further comments/questions?