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APPLICATION FORM
FOR
2026 SEINAN SUMMER JAPANESE PROGRAM

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(For students enrolled in SGU’s partner universities, please ask your coordinators.)
(For students not enrolled in SGU’s partner universities, please email us at inbound@seinan-gu.ac.jp.)

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Eligibility Confirmation
Before completing this form, please confirm that you meet the eligibility requirements on our website.
⇒ Click here to check the requirements

* Have you reviewed and understood the eligibility for this program?

I. Applicant's Information

1. Name
* Last (Family) Name
* First (Given) Name
Middle Name
* 2. Gender
  
* 3. Date of Birth
Month     Day     Year 
* 4. Nationality
5. Passport Number
* 6. E-mail Address (Indicate the one which you will use in Japan)
* 7. Current Postal Address
* 8. Current Phone Number
9. Permanent Address (If different from Q7)
* 10. Have you visited Japan before?
  

If yes, please provide us with the details of your stays. (e.g. location, period of stay, purpose)
* 11. Have you participated in any program offered by SGU?
  

If yes, please provide us with the name of the program and the year in which you participated.
(e.g. SGU Summer Program 2023, SGU Exchange Program for Fall 2022)
* 12. Emergency Contact Information
Name
Relationship to Applicant
Phone Number
Postal Address
Email Address

II. Academic Background

* 1. Name of University/College

2. Major
3. Year in School (as of June 2026)
              
4. Degree
        
* 5. Please give us a brief description of your secondary education.(e.g. name of high school, month of graduation, etc.)

III. Health and Medical Information

* 1. Do you have any learning differences (e.g. amblyopia, dyslexia)?
  

If yes, please specify.  
* 2. Do you have any allergies or other medical requirements?
  

If yes, please specify.  
* 3. Have you ever received treatment or counseling for mental issues?
  

If yes, please specify.  
4. If you have any pre-existing medical conditions (including mental issues), please give details.

IV. Language Proficiency Assessment
[Japanese Proficiency]

* 1. Have you studied Japanese in an educational institution?
  
* 2. How long have you studied Japanese? (at the time of application)
  
* 3. Have you passed any official Japanese language tests? (JLPT, JPT, EJU, etc.)?
  

If yes, please indicate the test name and your score/level.
* 4. Can you read and write Hiragana?
Hiragana Reading:

Hiragana Writing:
* 5. Can you read and write Katakana?
Katakana Reading:

Katakana Writing:
* 6. Do you understand and use the Te-form in Japanese grammar?
* 7. Please provide us with your Japanese study history in detail.
1) Secondary Education
Period of Study
e.g. “from August 2020 to present, total 3 years 4 months”
from  to  , total  years  months
Class Hours (per week)
e.g. “90 min class × 2 time(s) (per week)”
min class ×    time(s)
Name of Textbooks
e.g. “Genki (I)”
Volume
e.g. “Volume 2”
Lesson
e.g. “Up to Chapter #”
2) University/College
Period of Study
e.g. “from August 2020 to present, total 3 years 4 months”
from  to  , total  years  months
Class Hours (per week)
e.g. “90 min class × 2 time(s) (per week)”
min class ×    time(s)
Name of Textbooks
e.g. “Genki (I)”
Volume
e.g. “Volume 2”
Lesson
e.g. “Up to Chapter #”
3) Other (including self-study)
Period of Study
e.g. “from August 2020 to present, total 3 years 4 months”
from  to  , total  years  months
Class Hours (per week)
e.g. “90 min class × 2 time(s) (per week)”
min class ×    time(s)
Name of Textbooks
e.g. “Genki (I)”
Volume
e.g. “Volume 2”
Lesson
e.g. “Up to Chapter #”
* 2. Do you have any self-study history in Japanese?
  

If yes, please describe your self-study history in detail. (website, textbook, or other contents
you used, self-study period, any official Japanese language tests you passed, etc.)

[English Proficiency]

In some Japanese classes, particularly Introductory to Beginner classes, lectures are conducted in English
and you will be required to communicate with classmates in English during discussion and group work.
* 1. Do you have an English qualification? (e.g. TOEFL, IELTS, TOEIC)
     
* 2. Please indicate the test name and your score/level.
* 2. Please self-assess your current level of English proficiency. Additionally, please
indicate how confident you are in understanding lectures and communicating with
classmates in English.

  

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