Japan-Europe High School Student Exchange Program 2010
Application Form

First name

	Surname

Photo (5x4cm)	
Sex: □M   □F	Nationality:　		
Date of birth (dd/mm/yy):
 /       /       	Age:		
Passport No:		
Address:
	
Tel:	Email:	
Family information (Who do you live with and what is your place in the family? (i.e., eldest, middle child, youngest)):

Name of school:
	
Favourite subject:
	
Future plan (What kind of career you are interested in?):

Hobbies:

Foreign language:

Speaking ability of Japanese:
     □ Excellent    　  □ Good    　  □Fair　　　  □ Poor　
	
Learning experience of Japanese (If any):

Describe yourself and your motivation and expectations of your stay in Japan.  What do you hope to gain from this experience?: