Application for the CJT Japanese Trial Lesson
ACE Gaigo, Inc.

1 情報入力
2 内容確認
3 完了
・Please enter all the items below by using student's information who
will take our trial lesson.
・If you have any questions, please fill in the Questions column at the bottom.

After entering all necessary items, click the gray button 「内容確認画面へ」"Confirm what I entered" at the bottom of this form.
Finally you can check your message; if everything seems all right,
click the button 「送信する」"Send" on your right hand side.
Student's Name必須
First Name 
Last Name 

※Please enter the name of the person who will actually attend the course.
Student's Age必須

※Toddlers under the age of three can not take the trial lesson.
Student's Sex必須
Student's Occupation必須
Study Duration of Japanese必須
Japanese Proficiency Level必須

※JLPT: Japanese Language proficiency Test
Parent Name
First Name 
Last Name 

※Should be entered if the student is under 20 years old.
E-mail Address必須

確認用
Home Address必須
〒－ 
都道府県
市区町村
町名番地等
建物名

Postal Cord: Look-up button
Prefecture: Find and choose
City
Block number
Apartment Name and Room number
Telephone Number必須
 -  - 
※Cell Phone number prefered.
Lesson Style you want必須

※If 2 persons want to take our lesson, please also fill in another person's information below.
※If 3 persons want to take our lesson, please enter the 3rd person's information in the remarks column at the bottom.
2nd Student's Name必須
First Name 
Last Name 
2nd Student's Age必須

※Toddlers under the age of three can not take the trial lesson.
2nd Studen's Sex必須
2nd Student's Occupation必須
Japanese Study Duration (2nd St)必須
Japanese Proficiency Level (2nd St)必須
Preferred Teacher必須

※Bilingual Teachers are Japanese or Foreign Nationals.
Preferred Teacher's Sex必須

※If time is pressing, please check "Either will do."
Preferred Lesson Place必須

If you choose "Other", please specify in the column below.

Please fill in a lesson place you wish.
Train Stations
必須

Please fill in the stations near the lesson place you wish e.g. JR Shibuya and Shinsen on Keio Inogashira Line.
Way and Required Time to get there必須

Please fill in the way and required time to get to the lesson place from the nearest station e.g. 10-min walk, in 15 minutes by bus.
Station Transfer by car必須

Can you drop and pick the teacher at the nearest station?
Regular-Lesson Time and Frequency必須

※How long per lesson and how many times a week do you want to take our regular lessons? If "Other", fill in the column below.

e.g. 2-hour lesson 3 times a week
*Minimum unit is 1-hour lesson once a week.
Regular Lesson Day and Time
Please select up to the 3rd choice.
If you should have only the 1st choice, select "Not Wish" in the 2nd and 3rd choice columns of Lesson Day. If such is the case, we aplogize in advance for spending much more days to assign your teacher than usual.
※The trial lesson will be also conducted on the day and time you wish for your regular lesson.
Lesson Day the 1st Choice必須
Lesson Starting Time 1st choice必須
From  o'clock  minutes 
Lesson Day the 2nd Choice必須
Lesson Starting Time 2nd choice必須
From  o'clock  minutes 
Lesson Day the 3rd Choice必須
Lesson Starting Time 3rd choice必須
From  o'clock  minutes 
Lesson Course
Please select one lesson course you wish to take.
Preferred Lesson Course必須

If "Other", please fill in the below column with your wish.

Please specify your wish e.g. Japanese interview preparation for my job hunting in Japan.
Remarks Column

Please fill in your question or wish in a concise way if necessary. Please let us know the 3rd person's information here if you want to take our lessons with 3 persons together.