Japan Study Abroad Program | Trine University

Last Name*

First Name*

Student ID*

Trine Email*

Date of Birth*

Academic Major*

Academic Level*

Freshman

Sophomore

Junior

Senior

Gender*

Female

Male

Nationality/Citizenship*

Home Address*

Phone Number*

Emergency Contact (Name, Relationship, Phone Number, Email Address)*

Medical Insurance Company*

Insurance Subscriber Number/Phone Number*

Japanese Proficiency*

Beginner

Intermediate

Advanced

How long have your studied Japanese?*

Hobbies*

Your interest in potential Hakuoh University events/programs *

Japanese Tea Ceremony

Japanese Caligraphy

Traditional Japanese Flower Arranging

Learning Koto Traditional Japanese Instrument

Dietary/Health Restrictions *

Are there foods you do not like or cannot eat?*

Do you have any favorite foods?*

Homestay Preferences*

Do you mind if your homestay family smokes?*

Yes

No

Do you like pets?*

Yes

No

Have you ever traveled abroad?*

Yes

No

Have you event travelled to Japan?*

Yes

No

Area of interest in Japan:*

What is your main reason for participating in this event?*

Goals for the Future*

Best days of the week and time to schedule an interview:*

Japan Study Abroad Program Application

June 5-13, 2023

Details: