KOKO NI IRU Interview Application Form
This form is only for the application. Terms and conditions DO NOT apply for the interview itself. Please read them at the end of the form.
Email *
Thank you very much for your application for an interview.

'KOKO NI IRU' is a project that can only be realised with your support and contribution!

Please fill in the form below so that we can arrange a date and location for the interview and keep you informed about future progress of the project and invitations to the exhibition.

Full name *
Full name in kanji (if applicable)
Place of birth and Nationality *
Phone number *
Area of residence (town or postcode) *
We ask this in order to arrange the location of the interview and to take into account the time required for transport.
Would you like to join the information meeting?
Language(s) of interview *
Required
Preferred interview location(s) *
Required
 Day and time of possible interview *
We ask to get a rough idea of your schedule. The specific dates and times will be decided individually.
Morning
Afternoon
Evening
Not available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Any other preferences or any other plans you have, such as periods of time when you are not available for interviews (e.g. long holidays already arranged).
Would you allow us to have a video recording of your interview? *
The following can be answered if you are willing to answer
Please give us a brief background as basic information for the interview.
Which country are you from and where did you grow up?
Clear selection
Age
Clear selection
Main reason for coming to the Netherlands
Year of immigration to the Netherlands:
Do you have any family members or friends (with roots in Japan) living in Utrecht Province?
We are also interested in whether they have the same/different perspectives on the place. If there is anyone else who would like to help us, we would be very grateful if you let them know about this project.
Clear selection
How did you know about this project?
Would you like to mention anything else?
Application & Privacy
Thank you for your participation in the Project KOKO NI IRU!

This form is only for the application. Terms and conditions do not apply for the interview itself.

KOKO NI IRU Is a research & exhibition project of Stichting Japanese Art & Culture Centre of Utrecht [JACCU]. Before you submit your application, we would like to inform you about the storage and processing of your data in JACCU. You can find our data protection statement here.

Your data will be processed for the purposes of completing the application process. You can withdraw your application and the right to process your data that you have given us at any time (via email to info@jaccu.nl). By submitting an application, you are making your data available to the responsible department within JACCU. Your application documents may be viewed and checked by people involved in the JACCU selection process in connection with the filling of a position. The data in this form will be stored for as long as you are involved in the application process. If you are not involved in any activity in JACCU, the content of this form will be stored for 2 years after the application. After 2 years, all data apart from your surname, first name will be deleted. Should you have any questions about this or about data protection, you can contact us at info@jaccu.nl

By submitting this form, you are giving your consent to the processing of your personal data for the selected purposes, and agree that JACCU may collect, store, process and use the personal data you have provided.

Thank you very much for filling the form!
We will contact you as soon as we can.
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