Private Japanese Class Application Form
1.
Your Name:
2.
Your Email:
3.
What city and state do you live in?
4.
Your cell phone number:
5.
Are you a current JASO member (you'll need to join if no):
Yes
No
6.
Your approximate current language level:
Beginner (knows virtually nothing)
False Beginner (knows and can say some single words and short expressions, knows some simple Japanese letters)
Improver (recognizes Japanese hiragana, katakana; can say a variety of simpler sentences)
Intermediate (recognizes a number of kanji; working to express more complex sentences, hold meaningful conversations)
Advanced (N1 or N2 with some fluency in speaking and reading)
Not sure, but I studied a long time ago
You tell me
7.
Main study purpose:
General
Business
Vacation/Travel
JLPT
Kanji
Other (please specify)
8.
You'd prefer to study:
Once a week
Twice a week
9.
Your best day(s) of the week to study are:
Monday
Tuesday
Wednesday
Thursday
Friday
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)
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)
12.
Do you have any other comments:
Current Progress,
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