This is the application for 2017, not current!!
--Beginning of Application Form--
ABOUT YOU:
Your name in English:
Your first name:
Your last name:
Spell it in Katakana (this is for the program)
Your first name:
Your last name:
Your email address:
Your native language(s): 1. 2. 3.
Date of birth: Month: 11 Year
Are you in high school (check): Yes: No:
If your answer is Yes, please check the following with x
I am
Freshman ( )
Sophomore ( )
Junior ( )
Senior ( )
Your phone number (for emergency):
ABOUT THE SCHOOL:
Name of your school:( )
* The name of your school won't be presented in the program, but it will be announced at the announcement ceremony.
ABOUT THE PERSON OR TEACHER WHO RECOMMENDED YOU:
Do not leave this section blank! You need one teacher who recommend you.
Name: ( )
Name of the organization (school):( )
Address of the organization: ( )
The email address of the teacher:( )
The phone number of the teacher in case of emergency: ( )
TELL US ABOUT YOUR LEVEL:
To the best of your knowledge your level is:(check one)
Beginner( ), Intermediate( ), Advanced( )
Comment:
The courses you have completed:
If you did not take courses, how did you learn Japanese?
Did you travel to Japan before?
If Yes, how long did you stay in Japan?
Did you live in Japan before?
If Yes, how long and when was it?
ABOUT THE SPEECH:
(Title is important as it will appear in the program. Once the program is finalized for printing, you may not change the title . So please be careful. It's best to consult your teacher if you have any problem in translating the title.
Japanese title:
English title
Give us a brief statement of the content of your speech in a couple of lines in English below. Do not give us the translation of the speech.
My speech is about...
________________________________________________________.
The above section is for the purpose of creating a PowerPoint presentation that will appear behind you on stage. Your description will help members of the audience who do not speak Japanese to appreciate your speech. The name of your school won't be displayed.
Previous experience of competing in our speech contest: _________
If your answer is yes, which year?:_______
DISCLAIMERS
Photograph: I understand that the contest committee reserves the right to take photographs at this event and to use them to promote activities related to Japanese language and culture education on various media, including but not limited to: websites, newsletters, local newspapers, and magazines. Filming: I understand that the contest committee reserves the right to film the speeches. The purpose of the filming is promotion of the contest and it will not be publicized without the permission of each contestant.
By sending the application, I agreed the above disclaimers.
--End of Application form--