Consultation Request Form

    * is mandatory.

    Your details

    Name in Roman alphabet*

    LAST

    FIRST

    Name in kanji

    LAST

    FIRST

    Sex on your passport

    E-mail address*

    E-mail address (confirmation)*

    Phone No.*

    Nationality

    Current address

    Reservation of consultation (15 minutes)

    Please select date and time of your availability. You may select up to three timeslots.
    ※Level-check interview for the Part-time Program can be combined to this opporunity.

    First preference*

    o'clock

    min.

    Second preference

    o'clock

    min.

    Third preference

    o'clock

    min.

    Style of consultation*

    Face-to-faceOnline (ZOOM)

    Inquiries/questions

    Preferred Program/Course

    Style of lessons

    Preferred Program/Course

    Preferred enrollment

    Japanese learning experience

    Japanese learning experience*

    If Yes, please select

    Textbook last used

    Name of the textbooks

    Hiragana

    Japanese Language Proficiency Test (JLPT/日本語能力試験)*

    Year

    Questionnaire

    How did you get to know Nichibei?

    Protection of personal data

    Personal information is securely transmitted using industry-standard CPI encryption technology (digital ID), so there is no need to worry about that information being leaked to third parties.

    The Academy will strictly manage the information you provide to us. The following rules apply to the handling of personal information.
    1. The School will not collect personal information without the consent of students. When the School asks for students’ personal information, it will specify the purposes beforehand. The personal information will not be used for any other purpose than those specified in Item 4 below.
    2. The School will not share the personal information of the students with a third party other than the agencies with which the School has signed appropriate contracts regarding security control measures.
    3. The School will not consign the management of the students’ personal information to a third party other than the agencies with which the School has signed appropriate contracts regarding security control measures.
    4. Purposes of obtaining the personal information of students

      • To conduct classes and run curricula

      • To contact students regarding School affairs

      • To notify them of upcoming programs and courses

      • To announce upcoming events and activities of the School, IEC or cosponsor organizations

      • To e-mail or mail School newsletters