Private Japanese Class Application Form

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* 1. Your Name:

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* 2. Your Email:

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* 3. What city and state do you live in?

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* 4. Your cell phone number:

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* 5. Are you a current JASO member (you'll need to join if no):

Yes

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* 6. Your approximate current language level:

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* 7. Main study purpose:

General

Business

Vacation/Travel

JLPT

Kanji

Other (please specify)

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* 8. You'd prefer to study:

Once a week

Twice a week

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* 9. Your best day(s) of the week to study are:

Monday

Tuesday

Wednesday

Thursday

Friday

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* 10. Your best time(s) for study:

Weekday Daytime (9am-4:30pm)

Weekday Lunchtime

Weekday Early Evening (4:30-7pm)

Weekday Later Evening (from 7pm)

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* 11. You'd like to invest in

8 classes - $550 single private, $800 pair private

12 classes - $750 single private, $1,100 pair private

Longer/tailored plan - examples: school year, 6 months, 1-month intensive, and so on (explain in next question)

Private Japanese Class Application Form

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* 1. Your Name:

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* 2. Your Email:

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* 3. What city and state do you live in?

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* 4. Your cell phone number:

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* 5. Are you a current JASO member (you'll need to join if no):

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* 6. Your approximate current language level:

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* 7. Main study purpose:

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* 8. You'd prefer to study:

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* 9. Your best day(s) of the week to study are:

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* 10. Your best time(s) for study:

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* 11. You'd like to invest in

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* 12. Do you have any other comments: