| Name: |
Mr.
Ms. (Essential) |
| Nationality |
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| Mother tongue |
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| Other language |
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| Occupation |
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| E-mail: |
(Essential) |
| E-mail verification: |
(Essential) |
| Skype Name |
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| Which city are you staying? |
ex. Tokyo, Oosaka, Nagoya ... |
| Have you ever studied Japanese before? |
Yes No
If Yes, when, where and at which school did you study?
How long and how often did you study?
What textbook(s) did you use?
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| In learning and speaking Japanese, what is the most difficult for you? |
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| I can read ... |
Hiragana Yes No
Katakana Yes No
Kanji about characters |
| I can write ... |
Hiragana Yes No
Katakana Yes No
Kanji about characters |
| Why would you like to study Japanese? |
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| What would you like to learn mainly? |
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| Do you have many chances to speak Japanese? |
Yes No
If “Yes”, with whom?
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| Why did you choose MLC? |
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| How long are you going to study? |
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How often would you like to take classes in a week?
|
Once/week
2 times/week
3 times/week
5 times/week
<others>
|
When would you like to take lessons?
|
<Class Hours>
Mon. - Fri. 8:00 am - 9:30 pm
Saturday 10:15 am - 4:45 pm
Sunday 10:15 am - 1:25 pm
First preference
Second preference
|
| When would you like to start lesson? |
I’d like to start ...
ASAP
From |
| Others |
|
| When is it convenient for you to contact by Skype for interview? |
|