REGISTRATION FORM Winter 2019 JF Japanese Language Course at The NIPPON CLUB Culture Courses

Transcription

1 THE NIPPON CLUB Culture Courses 145 West 57th Street, 6 Fl. New York, NY (212) / culture@nipponclub.org REGISTRATION FORM Winter 2019 JF Japanese Language Course at The NIPPON CLUB Culture Courses Prefix Last Name (Please print or type) First Name (Please print or type) Address Apt. City State Zip Home Phone Cell Phone I would like to register for: A1 (1) Introductory Japanese (1/24-4/4, THU. 6:00 7:00 pm) $200 A1 (2) Introductory Japanese (1/24-3/28, THU. 7:00 8:30 pm) $300 A1 (3) Introductory Japanese (1/14-4/1, MON. 7:00 8:30 pm) $300 A2-1 (2) Elementary Japanese (1/22-4/2, TUE. 6:30 8:00 pm) $300 A2 Elementary Conversation and Grammar (1/16-3/27, WED. 6:00 7:30 pm) $300 A2-2 (4) Elementary Japanese (1/24-4/4, THU. 7:10 8:40 pm) $300 B1-1 Intermediate Japanese (1/14-4/1, MON. 6:30 8:30 pm) $400 Registration Fee: Nippon Club member $25 *first time only Employee of Nippon Club/JCCI member company $30 Non-member $50 * If you are not sure about your membership type, call (212) * Tuition and registration fee does not include textbook. To register, please complete this form and submit by mail or in person to: The Nippon Club Culture Courses 145 West 57 th St., 6Fl, New York, NY (Please make your check payable to The Nippon Club ). *The office is open Mon - Fri: 10am - 5pm. *IMPORTANT! Notice: *Payment by cash or check only. (No credit card). Registration deadline is three (3) business days prior to the first class meeting. - Full payment for tuition and fees must accompany your registration. - Class may be cancelled due to insufficient enrollment by the registration deadline. - Refunds are not available after the first class starts.

2 THE NIPPON CLUB Culture Courses 145 West 57th Street, 6 Fl. New York, NY (212) / culture@nipponclub.org REGISTRATION FORM Winter 2019 JF Japanese Language Course at The NIPPON CLUB Culture Courses Prefix Last Name (Please print or type) First Name (Please print or type) Address Apt. City State Zip Home Phone Cell Phone I would like to register for: A1 (1) Introductory Japanese (1/24-4/4, THU. 6:00 7:00 pm) $200 A1 (2) Introductory Japanese (1/24-3/28, THU. 7:00 8:30 pm) $300 A1 (3) Introductory Japanese (1/14-4/1, MON. 7:00 8:30 pm) $300 A2-1 (2) Elementary Japanese (1/22-4/2, TUE. 6:30 8:00 pm) $300 A2 Elementary Conversation and Grammar (1/16-3/27, WED. 6:00 7:30 pm) $300 A2-2 (4) Elementary Japanese (1/24-4/4, THU. 7:10 8:40 pm) $300 B1-1 Intermediate Japanese (1/14-4/1, MON. 6:30 8:30 pm) $400 Registration Fee: Nippon Club member $25 *first time only Employee of Nippon Club/JCCI member company $30 Non-member $50 * If you are not sure about your membership type, call (212) * Tuition and registration fee does not include textbook. To register, please complete this form and submit by mail or in person to: The Nippon Club Culture Courses 145 West 57 th St., 6Fl, New York, NY (Please make your check payable to The Nippon Club ). *The office is open Mon - Fri: 10am - 5pm. *IMPORTANT! Notice: *Payment by cash or check only. (No credit card). Registration deadline is three (3) business days prior to the first class meeting. - Full payment for tuition and fees must accompany your registration. - Class may be cancelled due to insufficient enrollment by the registration deadline. - Refunds are not available after the first class starts.

3 First survey 1. What is your first language? Your name: 2. Do you know any language(s) other than your first language? If yes, please name all of them and rate your proficiency level of each language (i.e. beginner, intermediate-low, intermediate-high, advanced-low, advanced-high, near-native level etc.). 3. Have you ever been to Japan? No Yes When: How long: Where: Purpose: 4. Have you studied Japanese before? No Yes When: How long: How : (Please specify the names of institution(s), textbook(s) and chapters covered, and/or websites you used) 5. Have you ever taken any official Japanese language proficiency tests (ex JLPT, ACTFL OPI, AP Japanese etc.)? If yes, please elaborate in detail (when you tried what, and the result of each exam).

4 6. What are your purposes/goals in studying Japanese? Please check all that apply. to learn what Japanese language/cultures are like. to travel in Japan somewhat comfortably. to communicate with your friends/family on simple daily topics. to communicate with your friends/family on social/academic topics. to have business communication. to understand TV dramas/movies. to read newspaper/watch TV news. Other(s) 7. What aspects of Japanese culture are you interested in? (Check all of the boxes that apply and provide examples) Arts (ex. ) Literature (ex. ) Food (ex. ) Anime/manga (ex. ) Music (ex. ) Fashion (ex. ) Movie (ex. ) Other (Please specify. ) 8. How did you find out about the JF Japanese language course? Chopsticks New York from Japan Foundation, NY Japan Foundation, NY website or pamphlet from Nippon Club Facebook Linkedin Newsletter from the Japan Foundation, NY Newsletter from the Nippon Club Word of Mouth Web search Poster (where: ) Other ( )

5 9. Please indicate the reason(s) you got interested in JF Japanese Language Course at The Nippon Club Culture Courses. Check all that apply. Location Schedule Class level Class contents Cost Instructors Related cultural events Other: Please specify below. 10. Is there anything that motivated you to sign up at this particular time? If yes, please provide more detail. Example 1: I ve been interested in Japanese language for a long time, and I finally have time to manage it. Example 2: I m traveling to Japan soon. Example 3: It s a good season for me to start something new! 11. (Optional) What is your age group? Under or older 12. (Optional) What is your current occupation? 13. Any comments or message? Thank you very much for your time!