Online Japan in the Schools Volunteer Form

Fields in bold are required.

Please type in English.

General information

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Home Phone:

Work Phone:

Mobile Phone:

Please add N/A if you do not have one

Email Address:

Volunteer Information

Language Proficiency:

Were you born in Japan? Yes No

If Yes, where?

Have you lived in Japan? Yes No

If Yes, where?

How long?

What is your employment status?

Company Name:

Are you Student? Yes No

School Name in the US:

School Name in Japan: *Please list in English

When are you planning to return to Japan?

Month: Year:

Affiliation: Do you Drive?

Yes No

Please describe your experience with Japanese language and culture, or describe your connection to Japan. (For example, I learned Japanese language at University and have always been interested in Japan.)

Do you have any talent that you are willing to contribute to JIS? (For example, Graphic skill for designing JIS flyers or cultural skill such as Japanese Instruments, Storytelling, Ikebana or Sado?

Today's Date

On occasion, representatives from and/or employees of the Japan America Society wish to photograph, videotape, and/or interview individuals in connection with Japan-America Society’s programs, projects, or events. Please let the JIS coordinator knows if you have any concern about this.