Entry Form for Special Study Camp Spring 2022 Discover Life -Seeking Peace through Connecting with Food-

* are required fields.

Name*
(Last) 　(First)

Katakana name*
(Last) 　(First)

Nickname
　　

Name of university/school/workplace

StudentOther

Major/minor
　　

Sex*
MaleFemaleOther

Date of birth (yyyy/mm/dd) (sample: 19870913)*
(Click year/month/date to enter or click calendar mark to select.)

Zip code*
－
Address in Japan*

Telephone number (figures only; sample: 0287363111)*

Emergency contact (figures only; sample: 0287363111)*

Email*

Email confirmation*

How did you know this program? Multiple choice allowed (With PC, Ctrl+click).
​PosterFlyerAcquaintanceARI StaffOther
Detail
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What about ARI are you interested in? Multiple choice allowed (With PC, Ctrl+click).
Organic agricultureInternational relationsSustainabilityCommunity lifeOther

Motivation of entry (around 300 characters)*
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Hobbies and special skills
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Do you need any special care such as food restrictions and physical conditions?
YesNo

If "yes," what do you need?
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Do you want newsletters from ARI?*
YesNo

Questions and remarks

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