九州キリスト災害支援センターボランティア登録 Volunteer Registration for Kyushu Relief Center
複数人・チームでの申し込みの際は代表者の方の情報と連絡先をご記入ください。チームの人数と男女比は必ずご記入ください。また、最後の質問についてはメンバーのことも含めてお書きください。If you are registering as a team, please type the name and the information of the leader only. Please type the total number of male and female members of the team. As for the last question, please include your team members' skills, too. It does not have to be very specific.
名前(フルネーム)・代表者名:Name(Full Name)/Name of the leader
Your answer
名前(ふりがな)
Your answer
所属団体(教会など):Church
Your answer
携帯電話:Cell Phone
Your answer
Email:
Your answer
性別:Gender
年齢:Age/代表者の年齢
Your answer
チーム名(あれば): Team Name (if you have one)
Your answer
人数(チームであれば合計人数):How many? If it is a team, how many members are in your group?
Your answer
チームの場合 男性の数/How many men if it is a team?
Your answer
チームの場合 女性の数/How many women if it is a team?
Your answer
宿泊の有無と人数(合計):Do you need accommodation? How many of you need?
Your answer
チームの場合、男性何人が宿泊が必要ですか?- If it is a team, how many men need accommodation?
Your answer
チームの場合、女性何人が宿泊が必要ですか?- If it is a team, how many women need accommodation?
Your answer
活動開始日時(初日到着日・前泊含め):Starting date
MM
/
DD
/
YYYY
活動開始時間(初日到着時間):What time will you arrive?
Your answer
活動終了日時(現地出発日時): Ending date
MM
/
DD
/
YYYY
活動終了時間: What time will you leave on the last day?
Your answer
現地までの交通手段: How are you getting here, by train, car, or plane?
車の場合 車の種類 If by car, what kind of car?
使用可能(通訳可能)な外国語: What language do you speak/are you able to translate?
Your answer
その他、参加者の特記事項(スキル、資格、経験、特技など) ※簡単で結構です。チームの場合は参加者名とスキルをご記入ください。Additional remarks: please include any skills, license, and/or experience that you have. If you are a team and your team members have special skills, please write that down. Also please mention how many of the members can speak Japanese. Please write down your team members names.
Your answer
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