[Kichijoji Language School

	* = repuired item
*name:
*emailaddress:
phone:
fax:
address:
*nationality:
age:
course:
*When do you plan to arrive in Tokyo?:	Year Month
*When do you plan to start your studies at KLS?:	Year Month
*How long do you plan to study at KLS?:
	*If you selected (4) over 12 months, please select a or b.
	a contact person in Tokyo:
Why do you wish to study in Japan?:
How long have you studied Japanese and what is your current overall level?:
message: