WITクロスボーダー・ラーニングジャーニー2017 in 福島 申込フォーム (Sign-Up Form for WIT Cross-Border Learning Journey 2017 in Fukushima)
クロスボーダー・ラーニングジャーニー in 福島ラーニングジャーニーへようこそ! 

Thank you very much for signing up for the Cross-Border Learning Journey in Fukushima!
Please fill in the form below. We look forward to knowing more about you, and be on the Journey with you!

氏名 (Full name) *
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職業・所属 (Profession and affiliation) *
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メールアドレス (Email address) *
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電話番号 (Phone number for emergency contact)
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参加希望日 (Which date(s) do you want to participate in?) *
ラーニングジャーニーに参加しようと想う動機や背景など自由に教えてください。 Please let us know why you would like to join the Journey. *
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WITへ質問やメッセージがあればお願いします! Please let us know if you have any questions and/or comments.
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