Apply

Carefully complete the application below for the 2012 Spokane-Nishinomiya Sister City Society high school summer exchange program.

You will not be able to start this application and return later to complete it. There is no save function. Thus it is recommended that you type your answers in a word processing program and then paste them into the appropriate fields when you have all your information ready.

Fields marked with * are required. When you finish, click the Submit Form button at the bottom and wait for the confirmation message to follow.

Fill out the form:

Your Name *
Email Address *
Mailing address *
Current high school grade level *
Date of birth *
Telephone number *
School name *
Your Japanese language teacher's name if you are taking Japanese
Cumulative GPA *
Parents' name(s) *
Your parents' address: (If different than yours.) *
Your parents' telephone number: (If different than yours) *
Extra curricular school activities *
Community service *
Other countires you have traveled to *
Why do you want to go to Japan? *
What are some of your strengths and your weaknesses? *
Why do you want to go to Japan? *
How would you cope with homesickness in Japan if you experience it? *
Do you think you would adjust well to Japanese culture? *
Would you like to join our mailing list to keep abreast of important Spokane-Nishinomiya Sister City Society updates? * Yes No