2019 Summer Program Application Form
This is the application form for our 2019 Summer Program. Please fill out the following questions in English.
*You are required to sign into your Google account for answering this form.
*We strongly recommend to write your essays by text first and paste to the form in case an error occurs.
*Earlier application is highly recommended.

After submission, you will receive an auto reply with your application summary from Google form. This also means your application has been submitted to us successfully.

If you have any troubles submitting your application form, please inquire at apply@manai.me

【Personal Information Policy】
The information which we acquired from the applicants will be accessed by our authorized administration staff and will be only viewed for the purpose of application to our 2019 Summer Program. We will partly use the information such as, participants age, where they are from, and school names for our report without identifying personnel. For more details please inquire at apply@manai.me

Email address *
First Name *
Please write your name as it is written on your passport.
Last Name *
Please write your name as it is written on your passport.
Middle Name
Please write your name as it is written on your passport.
Nationality *
Country (*where you live now) *
Sex *
Date of birth (Year/Month/Day) *
MM
/
DD
/
YYYY
Your Current Age *
The target age is 12 to 16 years old. *If you do not fit the target age, please contact us at apply@manai.me
What grade are you currently in? *
Name of your school *
Starting date of the new academic term at your school (Year/Month/Day) *
MM
/
DD
/
YYYY
Your parents/guardians name *
Email address of your parents/guardians *
*Please type your parents/ guardians' email address which they frequently check, EXCEPT for Yahoo account. *For those who type their Yahoo email address, they may not be able to receive our email due to Yahoo's email security system.
Mobile phone number of your parents/guardians *
Please add your country code. (Eg) +81-x-xxxx-xxxx
Mobile phone number of yours *
Please add your country code. (Eg) +81-x-xxxx-xxxx
How did you learn about this Program? *
If you are applying to any other organizations' summer program, please let us know here.
Organizers and program dates
Essay 1. Please tell us about your experience of how you have immersed yourself into something. *
Maximum of 1,000 letters (*NOT 1,000 words)
Essay 2. Please tell us about the experience that you have approached proactively towards something and influenced others. *
Maximum of 1,000 letters (*NOT 1,000 words)
Essay 3. Please write down anything you would like for us to know about you. (Eg. research experience) *
If you have any files to support Essay 1~3, please upload here.
If you would like to share files to support Essay 1~3, please attach your files here. You can attach maximum of 5 files less than 1GB in total. You can attach document, spreadsheet, PDF, movie, presentation, and/ or picture data.
Declaration *
Required
A copy of your responses will be emailed to the address you provided.
Submit
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