Application for 2021 HTIC Program - Intermediate Online Course -

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Please complete all items in this application in English.

Personal Information

Last Name (Romaji) *

First Name (Romaji) *

Gender *

Male

Female

Other:

Please write your E-mail address here. *

University *

Department *

Job Title *

Brief Description of Your Job Responsibilities *

How often do you use English at work? *

Everyday

Several times a week

Once a month

Never

Please indicate how you use English *

Guide and entertain visitors

Make or receive calls

Listen to and give presentations

Negotiations

Participate in meetings

Read and write emails

Speak with colleagues and clients

Travel overseas on business

Write letters or faxes

Write reports and documents

Other:

Required

English Proficiency Information

Please indicate any standardized English assessment exams you have taken and list the scores *

TOEFL

TOEIC

STEP-EIKEN

I haven't taken any standardized English assessment exams.

Other:

Required

Please indicate any standardized English assessment exams you have taken and list the scores (2) *

Date taken: (dd/mm/yyyy) Total Score:

If you haven’t taken any standardized English assessment exams, please rate your English proficiency:

Basic

Intermediate

Advanced

Speaking

Listening

Writing

Reading

Clear selection

DECLARATION: By checking this box, I certify that the information provided in this application is completely accurate and true to the best of my knowledge. *

I certify that the information in this application is true and correct to the best of my knowledge.

Required

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