Japanese Culture and Language Program Info


Japanese Culture and Language Program
Application
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Click here to apply online


JAPANESE CULTURE & LANGUAGE PROGRAM

APPLICATION FORM (print out and mail or fax)



Mr / Mrs / Ms / Dr
First NameM.I. Last Name
Company/Organization/School Name
Position/Title/School year
Address Number and Street
City State Zipcode
Telephone Home / Work / Mobile      Fax
Email


- List hobbies and extracurricular activities you participate. If applicable, state your positions and responsibilities.


- Have you lived or studied or worked overseas? If so, please indicate the location, purpose, and length of stay.


- Describe experiences you have had with the Japanese language and/or culture.


- Write a short statement explaining why you want to participate in this program.


· How did you hear about this seminar?
Media Friend   Flyer    Other
· Would you like to join an optional Japan tour after graduation? Yes / No
· Please indicate how you would like to participate in Aurora Foundation's activities:
Aurora Club Volunteer Other

Please mail this registration form and make check payable to Aurora Foundation.
We also accept credit card payment. Please provide credit card information at www.auroraevent.org


Use your browser to print out this application
and please mail or fax to:

Aurora Foundation - Japanese Culture & Language Program
3127 Nichols Canyon Road
Los Angeles, CA 90046
Tel: (323) 882-6545
Fax: (323) 969-9425
E-mail:Aurorafoundation@usa.net
Website: http://www.jlsf-aurora.org