jp-lesson Registration Form

 
 
<To First Time Users>
You can see for yourself whether you can connect to jp-lesson using your home computer,
and you can also receive a language counseling session from a Japanese instructor for free.
(Free Connection Test & Counseling Session:Approx. 20 min.)

Please have your webcam and headset ready by your reserved date and time,
and be prepared to commence the connection test. Make sure that you have checked the System Requirements page,
and that your computer meets the requirements.

System Requirements
After filling in the form below, please send it. We will send an e-mail of confirmation after receiving it.
  Name: * First    Last
Date of Birth: * Month / Day / Year
Sex: * Male Female
Country: *
*your presently living
State or City:
Address: *
Phone Number: *
E-mail Address: *
E-mail Address Confirmation: *
Occupation: *
Computer OS: *
Internet Connection Speed: *
Purpose for Studying Japanese:*
Level of Japanese: *
Japanese Study Experience: *
Hiragana?

No

A little

Port of them

Perfect
Katakana?

No

A little

Port of them

Perfect
Kanji?

No

A little

JLPT4th level

More than JLPT3rd level
Have Webcam?: * Yes. No.
Where did you know jp-lesson?: *
Google MSN Yahoo!
Japan Guide Hiragana Times Work in Japan
ELT News Kansai Flea Market
Other
Free Connection Test & Language Counseling preferred date:
Your TimeZone( For in USA ): in Others. in U.S.A.

date:(Your country date.) * / / /
Daylight Saving Time? Yes. No.
Enter any questions you may have here.
 

e-mail a friend about this site

Thank you very much!
If the above is correct, please click the "Comfirm" button.