英語版まいばらしにほんごきょうしつもうしこみしょ Maibara Japanese Language Class (Heisei27nen) The Maibara Multicultural and International Association has Japanese classes for foreign residents who want to learn Japanese. Let’s learn Japanese with us. 米原市日本語教室申込書 Application Form of Maibara Japanese Language Class １．Level and who can apply ① Foreign residents wishing to learn Introductory and Elementary Level Japanese ② Foreign residents wishing to learn about Japan through conversation or wishing to prepare to challenge Japanese-Language Proficiency Test ２．Fee \200 yen（per class） ※ If one and more students will attend the class, second and the following persons pay half the fee. ※ Plus around \1,000 yen（textbook）for Introductory and Elementary Level ３．Date もうしこみねんがっぴ申込年月日 Date of Submission Year month Day 年月日性別 Gender なまえ Name male・female 年齢 Age こくせき Nationality ぼこくご Native Language st From April 11 to March 2016 〒４．Time ※Please be careful because time is different between two locations. 【Maibara】 9:00-10:30（Every Saturday morning）【S a n t o】 9:30-11:00（Every Saturday morning） ※ We may change the time as needed. ※ There are cases we will not have classes if we have the fixed number of participants. ５．Location ※Please choose the location that is convenient for you. 【Maibara】Maibara kominkan ※Shimotara3-3 【S a n t o】Maibara-shimin koryu plaza ※Nagaoka1050-1 Or Santo kominkan ※Nagaoka3127（Not fixed at which location we’ll have.） ※ We may sometimes change locations or have outdoor activities. ※ We may sometimes cancel the classes in case of bad weather, and so on. ６．Class size Maximum of 15（each class） ※We take applications until we have the full. ７．How to apply Fill out the application form on the right side and then send the form to the city office. ※We take applications at any time. ８．For further information 〒521-8501 Maibara-shi Shimotara 3-3 Maibara municipal office （Maibara Multicultural and International Association） ☎ (0749) 52-6629 Fax (0749) 52-4539 じゅうしょ Address でんわばんごうつとめさき Telephone Workplace めーるあどれすらいん ID Telephone LINE ID いつ、にほんにきましたか？ When did you come to Japan? Date／Month／Year ／／にほんでなんねんせいかつされていますか？ How many years have you lived in Japan? どちらのかいじょうをきぼうしますか？ Which location do you prefer? どちらのくらすをきぼうしますか？ Which class are you interested in? Year(s) １．Maibara（まいばら）２．Santo （さんとう）１．Introductory or Elementary （にゅうもん・しょきゅう）２． To learn about Japan through conversation or preparation for JLPT （にほんについて学ぶ・JLPT 準備）そのた Comments： ※申込書の内容は、日本語教室の受講以外の目的には利用しません。 We don’t use this form for any purpose other than taking the classes.