Inquiry Form / Consultation Request Form

Name in kanji
LAST
FIRST
* Name in Latin alphabet
* In capital letters
LAST Enter your surname.(
FIRST Enter your first name.
Gender Male  Female
* E-mail address Enter your e-mail address.The e-mail address is invalid.
* E-mail address Enter your e-mail address.The e-mail address is not correct. Please enter it again.
* Phone No. Enter your phone number.
Nationality
Current address In Japan  Overseas
 
Japanese learning experience Yes I have. (Please answer the questions below.)  No, I haven’t.
Length of learning
The title of the textbook last used The title of the textbook 
Finished / Not finished 
Can you read or write hiragana? Yes, I can read.  Yes, I can write.
Can you read kanji?
Have you ever taken JLPT?
No, I haven’t.
Yes, I have, in
(year)
Target term for registering

Please choose month first, then year.

From 
(month)
(year)
Your target Program/Course
(You can choose more than one.)
Regular Program (5 days a week)
   I would like to apply for a Student Visa (6 mons. 2 yrs.).
   I don’t need a Student Visa.
Part-time Program (1 to 2 days a week)
   Early morning course
   Morning course
   Afternoon course 
   Evening course
   Saturday course
Private Lessons
Your target study contents (You can choose more than one.) Daily conversation  Business conversation  TV news
JLPT  BJT  Other

Reservation for Course Consultation (about 20 to 30 min.)

Time frame for consultation Mon.-Thu. 13:30-19:00, Friday 13:30-16:30, Saturday 13:30-16:00

Time frame for consultation is on the right. Please state your choice.
* Level-check interview will be conducted for those applying for the Part-time Program.

Time & day of your choice

Please select or fill in the month, day and time of your choice.

day
o’clock
min.
Questions

Questionnaire

How did you find out about our school?

Internet
Newspapers & Magazins
Recommended by
Other

*mandatory

Protection of personal data

Since all personal date are processed by the industry standard CPI cryptographic technology, they are secure and inaccessible by third parties.

The School exercises utmost care in data management. The School handles students’ personal information strictly in accordance with the rules stipulated bellow.

  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

Contact Us

  • 03-3359-9600
  • Reception Hours: Mon. – Thu. 9:00 – 19:30 / Fri. 9:00 – 17:00
  • Consultation Request Form
  • 5-min. walk fr. Yotsuya Stn.
  • Relocation to Temporary Building due to Redevelopment of Yotsuya Stn. Area
  • 1-50 Yotsuya, Shinjuku-ku, Tokyo, Japan 160-0004 Nearest Stn.: Yotsuya Stn., JR Chuo and Sobu Lines/Subway Marunouchi and Nanbuku Lines