apply now Long-term Contract (91 days - 2 years) Title Mr. Mdm. Ms. Name in Full Name in Katakana Date of Birth Email Contact no. Country of Origin Current Residential Address Current Japanese Level Entry level Elementary (passed N5/N4) Intermediate (passed N3) Advanced (passed N2/N1) Languages you can speak Please tick the apps that you are actively using (in case we can't get you through email) Whatsapp LINE Area Tokyo Kansai Region (except Kyoto) Kyoto Nagoya Kyushu Sendai Sapporo name of dormitory (write one only) IMPORTANT: Move-in Date & Time for Long-term ContractsDormitories may only be available on/after the 29th as the rooms will be cleaned after the previous tenant moves out.Moving-in is only allowed on Mondays to Fridays (except public holidays) between 9:00am and 5:00pm. Move-in date Move-in time Futon Set Rental I will purchase by myself (compulsory if not renting) 1 month @ JPY7,920 2 months @ JPY9,900 3 months @ JPY11,880 4 months @ JPY13,860 5 months @ JPY15,840 6 months @ JPY17,820 7 months @ JPY19,800 8 months @ JPY21,780 9 months @ JPY23,760 10 months @ JPY25,740 11 months @ JPY27,720 12 months @ JPY29,700 TV Rental Not Required I'd like to rent a TV (charges apply, varies among dormitories) Refrigerator Rental Not Required 1 - 3 months @ JPY11,000 4 months @ JPY12,100 5 months @ JPY13,200 6 months @ JPY14,300 7 months @ JPY15,400 8 months @ JPY16,500 9 months @ JPY17,600 10 months @ JPY18,700 11 months @ JPY19,800 12 months @ JPY20,900 Name of Institution in Japan Address of Institution in Japan How did you find out about this program? Terms & Conditions 1. I understand that submitting this application does not mean that I have secured the room. 2. I understand that the PIC will get in touch with me within 3-5 working days to follow up on this application. submit Short-term Contract (30 - 90 days) Title Mr. Mdm. Ms. Name in Full Name in Katakana Date of Birth Email Contact no. Country of Origin Current Residential Address Current Japanese Level Entry level Elementary (passed N5/N4) Intermediate (passed N3) Advanced (passed N2/N1) Languages you can speak Please tick the apps that you are actively using (in case we can't get you through email) Whatsapp LINE Area Tokyo Kansai Region (except Kyoto) Kyoto Nagoya Kyushu Sendai Sapporo name of dormitory (write one only) IMPORTANT: Move-in/Move-out Dates & Times for Short-term ContractsKindly move-in/move-out on Mondays to Fridays (except public holidays) between 9:00am and 5:00pm. Move-in date Move-in time Move-out date Move-out time Total days TV Rental Not Required I'd like to rent a TV (charges apply, varies among dormitories) Refrigerator Rental Not Required 1 - 3 months @ JPY11,000 Name of Institution in Japan Address of Institution in Japan How did you find out about this program? Terms & Conditions 1. I understand that submitting this application does not mean that I have secured the room. 2. I understand that the PIC will get in touch with me within 3-5 working days to follow up on this application. submit
