Course Application Form
(Student Visa Not Required)
Application date
09/11/2024 03:17:59 AM
Course Information
Intended course
- Please select -
AIJP
SILAC
Course start date
Course length
Course ends
Note
Applicants are required to have passed level 4 or higher on the Japanese Language Proficiency Test or score above 75% on the online test.
Note. Applicants are required to satisfy either of the following conditions and have a Japanese ability to understand classes.
1. A person who has passed level 4 or higher on the Japanese Language Proficiency Test.
2. A person who has a Japanese ability equivalent to level 4 or higher of the Japanese Language Proficiency Test.
3. A person who has studied Japanese for at least 600 hours.
Expected start of lessons
Days of the week
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Desired time of lessons
From
hh
09
10
11
12
13
14
15
16
17
:
mm
00
10
20
30
40
50
to
hh
09
10
11
12
13
14
15
16
17
18
:
mm
00
10
20
30
40
50
Students who would like to take lessons on Saturday or in the evening, please contact admissions@yamasa.org.
Desired total number of lessons
Desired lessons per week
Note
Our staff will ask you to take an online test and send a questionnaire about your study and Japanese proficiency before your start date.
First time
Desired date of trial lesson:
Desired time of trial lesson:
hh
09
10
11
12
13
14
15
16
17
18
19
20
:
mm
00
30
Second time onward
Desired date of next lesson:
Days of the week
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Monday lesson start:
hh
09
10
11
12
13
14
15
16
17
18
19
20
:
mm
00
30
Tuesday lesson start:
hh
09
10
11
12
13
14
15
16
17
18
19
20
:
mm
00
30
Wednesday lesson start:
hh
09
10
11
12
13
14
15
16
17
18
19
20
:
mm
00
30
Thursday lesson start:
hh
09
10
11
12
13
14
15
16
17
18
19
20
:
mm
00
30
Friday lesson start:
hh
09
10
11
12
13
14
15
16
17
18
19
20
:
mm
00
30
Saturday lesson start:
hh
09
10
11
12
13
14
15
:
mm
00
30
Number of private lessons:
hh
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
90
95
100
105
110
115
120
125
130
135
140
145
150
155
160
165
170
175
180
185
190
195
200
Personal Information
Family name
Given name
Middle name (if applicable)
Name in Chinese (if applicable)
English name (if applicable):
(Hong Kong, Singapore or Taiwan nationalities only.)
Nationality
If dual nationality, indicate the country of the passport you plan to enter Japan on.
- Please select -
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Republic of the Congo
Democratic Republic of the Congo
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Liechtenstein
Libya
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Malta
Mali
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Native language
- Please select -
Other
Arabic
Burmese
Chinese (Mandarin)
Chinese (Cantonese)
Chinese (Other)
Czech
Danish
Dutch
English
Estonian
Finnish
French
German
Greek
Hebrew
Hungarian
Icelandic
Indonesian
Italian
Japanese
Korean
Latvian
Lithuanian
Malay
Maltese
Norwegian
Polish
Portuguese
Russian
Slovak
Slovene
Spanish
Swedish
Thai
Turkish
Vietnamese
1st foreign language (if applicable)
- Please select -
Other
Arabic
Burmese
Chinese (Mandarin)
Chinese (Cantonese)
Chinese (Other)
Czech
Danish
Dutch
English
Estonian
Finnish
French
German
Greek
Hebrew
Hungarian
Icelandic
Indonesian
Italian
Japanese
Korean
Latvian
Lithuanian
Malay
Maltese
Norwegian
Polish
Portuguese
Russian
Slovak
Slovene
Spanish
Swedish
Thai
Turkish
Vietnamese
Sex
- Please select -
Male
Female
Date of birth
(Year/Month/Day)
Current occupation
Highest level of education completed
- Please select -
Graduate School
Undergraduate studies
Technical/Commmunity/TAFE college
Senior High School
Other
Other
Home address (please provide in latin alphabet only)
Home address
Postcode/ZIP
Country
- Please select -
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Republic of the Congo
Democratic Republic of the Congo
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Liechtenstein
Libya
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Malta
Mali
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Address in Japan (If applicable)
Address in Japan
Postcode/ZIP
Prefecture
- Please select -
Aichi
Akita
Aomori
Chiba
Ehime
Fukui
Fukuoka
Fukushima
Gifu
Gunma
Hiroshima
Hokkaido
Hyogo
Ibaraki
Ishikawa
Iwate
Kagawa
Kagoshima
Kanagawa
Kumamoto
Kyoto
Kochi
Mie
Miyagi
Miyazaki
Nagano
Nagasaki
Nara
Niigata
Oita
Okayama
Okinawa
Osaka
Saga
Saitama
Shiga
Shimane
Shizuoka
Tochigi
Tokushima
Tokyo
Tottori
Toyama
Wakayama
Yamagata
Yamaguchi
Yamanashi
Email address
Telephone number
Emergency contact (phone number, email, etc.)
Passport number
(If you don't have a passport yet, please email it to us later.)
Passport valid until
Type of visa that you intend to hold /currently hold
College student
Dependent spouse
Employment
Long-term resident
Permanent resident
Pre-college student
Student
Tourist
Trainee
Working holiday
Other:
Residence card No. (if applicable)
Residence card valid until
Please write a short outline of your hobbies/interests
Please enter any extra information you would like us to know before your arrival at YAMASA here
Accommodation Information
Will you require Yamasa's housing office to arrange accommodation for you?
- Please select -
Yes
No
Preferable check-in day (can be changed later)
- Please select -
1 day before commencement
2 days before commencement
3 days before commencement (long term only)
Preferable check-out day (can be changed later)
- Please select -
1 day after course end
2 days after course end (long term only)
3 days after course end (long term only)
All rooms are single.
Please select all 5 accommodation options.
1st accomodation choice
- Please select -
Residence Hane - Type A
Residence Hane - Type A (Small balcony)
Residence Hane - Type A (Large balcony)
Residence Hane - Type B
Residence Hane - Type B (Large balcony)
Residence K
Residence L - 2DK
Residence L - 3DK
Residence L - 1SLDK Premium Type
Residence U
Student Village - Small room, north side
Student Village - Small room, south side
Student Village - Large room
Villa 1
Villa 3 - Gamer's room
Villa 3 - Pet friendly room
Villa 3 - Zen room
Villa 3 - Kawai room
Villa 3 - Halal room
Villa 4
Villa 5
2nd accomodation choice
- Please select -
Residence Hane - Type A
Residence Hane - Type A (Small balcony)
Residence Hane - Type A (Large balcony)
Residence Hane - Type B
Residence Hane - Type B (Large balcony)
Residence K
Residence L - 2DK
Residence L - 3DK
Residence L - 1SLDK Premium Type
Residence U
Student Village - Small room, north side
Student Village - Small room, south side
Student Village - Large room
Villa 1
Villa 3 - Gamer's room
Villa 3 - Pet friendly room
Villa 3 - Zen room
Villa 3 - Kawai room
Villa 3 - Halal room
Villa 4
Villa 5
3rd accomodation choice
- Please select -
Residence Hane - Type A
Residence Hane - Type A (Small balcony)
Residence Hane - Type A (Large balcony)
Residence Hane - Type B
Residence Hane - Type B (Large balcony)
Residence K
Residence L - 2DK
Residence L - 3DK
Residence L - 1SLDK Premium Type
Residence U
Student Village - Small room, north side
Student Village - Small room, south side
Student Village - Large room
Villa 1
Villa 3 - Gamer's room
Villa 3 - Pet friendly room
Villa 3 - Zen room
Villa 3 - Kawai room
Villa 3 - Halal room
Villa 4
Villa 5
4th accomodation choice
- Please select -
Residence Hane - Type A
Residence Hane - Type A (Small balcony)
Residence Hane - Type A (Large balcony)
Residence Hane - Type B
Residence Hane - Type B (Large balcony)
Residence K
Residence L - 2DK
Residence L - 3DK
Residence L - 1SLDK Premium Type
Residence U
Student Village - Small room, north side
Student Village - Small room, south side
Student Village - Large room
Villa 1
Villa 3 - Gamer's room
Villa 3 - Pet friendly room
Villa 3 - Zen room
Villa 3 - Kawai room
Villa 3 - Halal room
Villa 4
Villa 5
5th accomodation choice
- Please select -
Residence Hane - Type A
Residence Hane - Type A (Small balcony)
Residence Hane - Type A (Large balcony)
Residence Hane - Type B
Residence Hane - Type B (Large balcony)
Residence K
Residence L - 2DK
Residence L - 3DK
Residence L - 1SLDK Premium Type
Residence U
Student Village - Small room, north side
Student Village - Small room, south side
Student Village - Large room
Villa 1
Villa 3 - Gamer's room
Villa 3 - Pet friendly room
Villa 3 - Zen room
Villa 3 - Kawai room
Villa 3 - Halal room
Villa 4
Villa 5
6th accomodation choice
- Please select -
Residence Hane - Type A
Residence Hane - Type A (Small balcony)
Residence Hane - Type A (Large balcony)
Residence Hane - Type B
Residence Hane - Type B (Large balcony)
Residence K
Residence L - 2DK
Residence L - 3DK
Residence L - 1SLDK Premium Type
Residence U
Student Village - Small room, north side
Student Village - Small room, south side
Student Village - Large room
Villa 1
Villa 3 - Gamer's room
Villa 3 - Pet friendly room
Villa 3 - Zen room
Villa 3 - Kawai room
Villa 3 - Halal room
Villa 4
Villa 5
7th accomodation choice
- Please select -
Residence Hane - Type A
Residence Hane - Type A (Small balcony)
Residence Hane - Type A (Large balcony)
Residence Hane - Type B
Residence Hane - Type B (Large balcony)
Residence K
Residence L - 2DK
Residence L - 3DK
Residence L - 1SLDK Premium Type
Residence U
Student Village - Small room, north side
Student Village - Small room, south side
Student Village - Large room
Villa 1
Villa 3 - Gamer's room
Villa 3 - Pet friendly room
Villa 3 - Zen room
Villa 3 - Kawai room
Villa 3 - Halal room
Villa 4
Villa 5
8th accomodation choice
- Please select -
Residence Hane - Type A
Residence Hane - Type A (Small balcony)
Residence Hane - Type A (Large balcony)
Residence Hane - Type B
Residence Hane - Type B (Large balcony)
Residence K
Residence L - 2DK
Residence L - 3DK
Residence L - 1SLDK Premium Type
Residence U
Student Village - Small room, north side
Student Village - Small room, south side
Student Village - Large room
Villa 1
Villa 3 - Gamer's room
Villa 3 - Pet friendly room
Villa 3 - Zen room
Villa 3 - Kawai room
Villa 3 - Halal room
Villa 4
Villa 5
Will you need Yamasa to arrange futons/bedding?
- Please select -
No
Rent
Purchase (25900,- Yen)
"Rental Futon" and "Purchased Futon" are a futon and pillow set.
*The futon pictured and the ones available for rental and purchase will differ slightly.
Except for some rooms, there is no mattress on the bed so you can not sleep without Futon because the bed is hard without it. Especially from autumn to early spring, it will also become cold in Okazaki and you can not sleep without Futon, so please prepare your own sleeping bag etc if you do not need Futon.
You can rent Futon for only one week , and also you can purchase it during that period.
Customer living in Japan can ship your Futon to YAMASA before moving in and can keep those in the room in advance.
The photo of the bed without Futon.
Learning History
Have you formally studied Japanese before?
- Please select -
No
At school
Self-study
Did you study at YAMASA?
- Please select -
Yes
No
If you did study at YAMASA before, please provide your YAMASA student number, if you remember it.
What school did you study Japanese at?
Approximatelly how many class contact hours did you received?
- Please select -
0 - 150
151 - 300
301 - 450
451 - 600
601 - 750
More than 750
Which textbooks/materials did you use? To which chapter?
Were your classes taught in Japanese only?
- Please select -
Yes
No
What are your main reasons for studying Japanese?
Can you read hiragana and katakana?
- Please select -
Yes
No
Have you passed any level of JLPT test?
- Please select -
No
N1
N2
N3
N4
N5
Arrival Information
I will use Yamasa Airport Pickup Service (This service cost 12 000,- Yen):
- Please select -
Yes
No
I will use JR Okazaki Station/Meitetsu Higashi Okazaki Station Free Pickup Service. (weekdays 9:00~16:00) *Out of hours, a service charge of 20,000 yen will be applied.:
- Please select -
Yes
No
File Upload
Upload your resume if you intend to work in Japan after graduating from Yamasa:
Please note that if this box is not checked, the form cannot be sent.
-
I confirm that I have read, fully understand and agree with the Yamasa Institute's privacy policy and cancellation/refund policy.
Please contact admissions@yamasa.org if you require further information.