English Village in NAGATA high school27th Jan

★Assignment you are asked:
Advice to high school students in English
★Theme:
Discussion 1 "My future dream"
Discussion 2 "Urgent Social Issues in my country"
★NAGATA high school:
https://www.hyogo-c.ed.jp/~nagata-hs/pages/11_en/top/
★Numbers of international students and high school students:
10 international students per 40 Japanese students in a class
★Location:
https://maps.app.goo.gl/Y9RCT9XKGThujcBX8
★Fee:
Transportation fee from your univ. to Nagata high school is provided
★Honorarium:
None

Please select which day you can participate.必須

Tuesday 27th January

Wednesday 28th January

Friday 30th January

Monday 2nd February

Please select time of class you can attend.必須

27th January 9:30-10:20am

27th January 10:30-11:20am

Please select time of class you can attend.必須

28th January 9:30-10:20am

28th January 10:30-11:20am

28th January 13:05-13:55pm

28th January 14:05-14:55pm

Please select time of class you can attend.必須

30th January 11:30-12:20pm

30th January　13:05-13:55pm

Please select time of class you can attend.必須

2nd February 9:30-10:20am

2nd February 11:30-12:20pm

2nd February 14:05-14:55pm

チェックボックスを選択してください必須

高校生 high school student

学部生 university student(bachelor)

大学院生 graduate school student(master/doctor)

学校教職員 teacher

企業 company

団体・行政 group/administrative agency

一般 other

学校名 name of your school
（学生student・教職員teacher）必須

前項目で「上記以外」を選択した場合、学校名をご入力下さい
If you selected 'Other' in the previous section, please enter the name of the school.

学部 faculty
※学生のみ only for students必須

学部 facluty 学科 department

学年 grade
※学生のみ only for students必須

お名前 name

★フリガナ furigana

★NAME（英語表記）name in English必須

電話番号 phone number

- -

★メールアドレス email adress必須

★国籍 nationality必須

日本 Japan

日本以外 other countries

上記で日本以外を選んだ方の国籍
For those who selected a country other than Japan above, please specify your nationality必須

性別 gender

活動中の写真を撮影し、SNS等に使用してもいいですか？
Do you consent to having photos of your activities taken and used on social media and other media?必須

はい Yes

いいえ No

その他、連絡事項があれば記入してください
If you have any other remarks, please write them here.

English Village in NAGATA high school 27th Jan - 2nd Feb

English Village in NAGATA high school
27th Jan - 2nd Feb