{"id":161,"date":"2018-03-09T15:15:30","date_gmt":"2018-03-09T06:15:30","guid":{"rendered":"https:\/\/www.bunka-bi.ac.jp\/?page_id=161"},"modified":"2018-07-06T12:10:39","modified_gmt":"2018-07-06T03:10:39","slug":"request","status":"publish","type":"page","link":"https:\/\/www.bunka-bi.ac.jp\/en\/request\/","title":{"rendered":"REQUEST APPLICATION"},"content":{"rendered":"<div class=\"page-block\">\r\n<h3 class=\"page-heading\">Inquiry over the telephone<\/h3>\r\n<div class=\"page-text\">Bunka Institute of Language\u3000\uff1a\u3000TEL\uff1a+81-3-3299-2011\u3000*Reception Time\u30009:00\uff5e17:00<\/div>\r\n<\/div>\r\n<div class=\"page-block\">\r\n<h3 class=\"page-heading\">Request Application Form<\/h3>\r\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f160-o1\" lang=\"ja\" dir=\"ltr\">\n<div class=\"screen-reader-response\" role=\"alert\" aria-live=\"polite\"><\/div>\n<script type=\"text\/javascript\" charset=\"UTF-8\" src=\"https:\/\/zipaddr.github.io\/zipaddrx.js?v=1.29\"><\/script><script type=\"text\/javascript\" charset=\"UTF-8\">function zipaddr_ownb(){D.dli='-';D.wp='1';D.uver='5.5.1';D.sysid='ContactForm7';}<\/script><form action=\"\/en\/wp-json\/wp\/v2\/pages\/161#wpcf7-f160-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"160\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.2.2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ja\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f160-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<div class=\"wpcf7-response-output\" role=\"alert\" aria-hidden=\"true\"><\/div>\n\n<div class=\"page-text\">Information given in the request application form will be sent to Bunka Institute of Language (hereinafter referred to as BIL).\nPersonal information received shall be used by BIL based on the privacy policy established by Educational Foundation Bunka Gakuen to send school pamphlets and materials requested. BIL shall not use personal information for the purposes other than the above.\n<br>\n<a href=\"\/en\/privacy\/\" target=\"_blanc\"\"><i class=\"fa fa-chevron-circle-right\" aria-hidden=\"true\"><\/i> Policy on the Protection of Personal Information established by Educational Foundation Bunka Gakuen (Privacy Policy)<\/a>\n<div>\nBefore sending the request application form, you must understand and agree to the policy.  If you do, tick the box below, complete the form, and then send.\n<\/div>\n\n<div class=\"form-cate\" style=\"margin-top:10px; margin-bottom:30px;\">\n<div class=\"fcontrol\"><span class=\"wpcf7-form-control-wrap checkbox-639\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"checkbox-639[]\" value=\"I acknowledge that I have read and understood the Policy on the Protection of Personal Information.\" \/><span class=\"wpcf7-list-item-label\">I acknowledge that I have read and understood the Policy on the Protection of Personal Information.<\/span><\/span><\/span><\/span><\/div>\n<\/div>\n\n<div class=\"page-text wpcf7c-elm-step1\">An asterisk (<span style=\"color:red;\">\u203b<\/span>) indicates required fields.<\/div>\n<div class=\"page-text wpcf7c-elm-step2\">\u4e0b\u8a18\u306e\u5185\u5bb9\u3067\u554f\u984c\u306a\u3044\u3088\u3046\u3067\u3057\u305f\u3089\u300c\u9001\u4fe1\u3059\u308b\u300d\u3092\u62bc\u3057\u3066\u4e0b\u3055\u3044\u3002<\/div>\n<div class=\"cform\">\n\n<div class=\"form-cate\">\n<label>Full legal name<span style=\"color:red;\">\u203b<\/span><\/label>\n<div class=\"fcontrol\"><span class=\"wpcf7-form-control-wrap your-name\"><input type=\"text\" name=\"your-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/div>\n<\/div>\n\n<div class=\"form-cate\">\n<label>In Japanese Katakana<\/label>\n<div class=\"fcontrol\"><span class=\"wpcf7-form-control-wrap your-furigana\"><input type=\"text\" name=\"your-furigana\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/div>\n<\/div>\n\n<div class=\"form-cate\">\n<label>Zip\/Postal code<\/label>\n<div class=\"fcontrol\"><span class=\"wpcf7-form-control-wrap your-pcode\"><input type=\"text\" name=\"your-pcode\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"zip\" aria-invalid=\"false\" \/><\/span> <\/div>\n<\/div>\n\n<div class=\"form-cate\">\n<label>State\/Province\/Region<\/label>\n<div class=\"fcontrol\"><span class=\"wpcf7-form-control-wrap your-prefectures\"><select name=\"your-prefectures\" class=\"wpcf7-form-control wpcf7-select\" id=\"pref\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Hokkaido\">Hokkaido<\/option><option value=\"Aomori\">Aomori<\/option><option value=\"Iwate\">Iwate<\/option><option value=\"Miyagi\">Miyagi<\/option><option value=\"Akita\">Akita<\/option><option value=\"Yamagata\">Yamagata<\/option><option value=\"Fukushima\">Fukushima<\/option><option value=\"Ibaraki\">Ibaraki<\/option><option value=\"Tochigi\">Tochigi<\/option><option value=\"Gunma\">Gunma<\/option><option value=\"Saitama\">Saitama<\/option><option value=\"Chiba\">Chiba<\/option><option value=\"Tokyo\">Tokyo<\/option><option value=\"Kanagawa\">Kanagawa<\/option><option value=\"Niigata\">Niigata<\/option><option value=\"Toyama\">Toyama<\/option><option value=\"Ishikawa\">Ishikawa<\/option><option value=\"Fukui\">Fukui<\/option><option value=\"Yamanashi\">Yamanashi<\/option><option value=\"Nagano\">Nagano<\/option><option value=\"Gifu\">Gifu<\/option><option value=\"Shizuoka\">Shizuoka<\/option><option value=\"Aichi\">Aichi<\/option><option value=\"Mie\">Mie<\/option><option value=\"Shiga\">Shiga<\/option><option value=\"Kyoto\">Kyoto<\/option><option value=\"Osaka\">Osaka<\/option><option value=\"Hyogo\">Hyogo<\/option><option value=\"Nara\">Nara<\/option><option value=\"Wakayama\">Wakayama<\/option><option value=\"Tottori\">Tottori<\/option><option value=\"Shimane\">Shimane<\/option><option value=\"Okayama\">Okayama<\/option><option value=\"Hiroshima\">Hiroshima<\/option><option value=\"Yamaguchi\">Yamaguchi<\/option><option value=\"Tokushima\">Tokushima<\/option><option value=\"Kagawa\">Kagawa<\/option><option value=\"Ehime\">Ehime<\/option><option value=\"Kochi\">Kochi<\/option><option value=\"Fukuoka\">Fukuoka<\/option><option value=\"Saga\">Saga<\/option><option value=\"Nagasaki\">Nagasaki<\/option><option value=\"Kumamoto\">Kumamoto<\/option><option value=\"Oita\">Oita<\/option><option value=\"Miyazaki\">Miyazaki<\/option><option value=\"Kagoshima\">Kagoshima<\/option><option value=\"Okinawa\">Okinawa<\/option><\/select><\/span><\/div>\n<\/div>\n\n<div class=\"form-cate\">\n<label>Current address line1<span style=\"color:red;\">\u203b<\/span><\/label>\n<div class=\"fcontrol\"><span class=\"wpcf7-form-control-wrap your-address01\"><input type=\"text\" name=\"your-address01\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"city\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/div>\n<\/div>\n\n<div class=\"form-cate\">\n<label>Current address line2 (Apartment name & Room number)<\/label>\n<div class=\"fcontrol\"><span class=\"wpcf7-form-control-wrap your-address02\"><input type=\"text\" name=\"your-address02\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/div>\n<div class=\"fcap\">\u203bPlease make sure to enter the room number<\/div>\n<\/div>\n\n<div class=\"form-cate\">\n<label>Phone<\/label>\n<div class=\"fcontrol\"><span class=\"wpcf7-form-control-wrap your-tel\"><input type=\"tel\" name=\"your-tel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span><\/div>\n<\/div>\n\n<div class=\"form-cate\">\n<label>E-mail<span style=\"color:red;\">\u203b<\/span><\/label>\n<div class=\"fcontrol\"><span class=\"wpcf7-form-control-wrap your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/div>\n<\/div>\n\n<div class=\"form-cate\">\n<label>Sex<span style=\"color:red;\">\u203b<\/span><\/label>\n<div class=\"fcontrol\"><span class=\"wpcf7-form-control-wrap your-sex\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"your-sex\" value=\"Male\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"your-sex\" value=\"Female\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/label><\/span><\/span><\/span><\/div>\n<\/div>\n\n<div class=\"form-cate\">\n<label>Country of citizenship<span style=\"color:red;\">\u203b<\/span><\/label>\n<div class=\"fcontrol\"><span class=\"wpcf7-form-control-wrap your-country\"><input type=\"text\" name=\"your-country\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/div>\n<\/div>\n\n<div class=\"form-cate form-cate-flex\">\n<div class=\"fcf-box\">\n<label>Course interested<span style=\"color:red;\">\u203b<\/span><\/label>\n<div class=\"fcontrol fcontrol-cate02\"><span class=\"wpcf7-form-control-wrap checkbox-26\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"Japanese Language Course\" \/><span class=\"wpcf7-list-item-label\">Japanese Language Course<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"Japanese Language Teacher Training Course\" \/><span class=\"wpcf7-list-item-label\">Japanese Language Teacher Training Course<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"Business Japanese Interpreting Course\" \/><span class=\"wpcf7-list-item-label\">Business Japanese Interpreting Course<\/span><\/label><\/span><\/span><\/span><\/div>\n<div class=\"fcap\" style=\"color:blue;\">\u203b Course applying<\/div>\n<\/div>\n<div class=\"fcf-box page-stext\">\n<a href=\"https:\/\/www.bunka-bi.ac.jp\/blog\/2024\/06\/21\/post-4084\/\" style=\"color:#FF0000 !important\">\n<i class=\"fa fa-exclamation-triangle\" aria-hidden=\"true\"><\/i> This course suspended accepting applicants for 2025 admission.<br>\nWe will restart the course from April 2026 with a new curriculum!!<\/a>\n<\/div>\n<\/div>\n\n<div class=\"form-cate\">\n<label>Question\/Comment<\/label>\n<div class=\"fcontrol\"><span class=\"wpcf7-form-control-wrap your-comments\"><textarea name=\"your-comments\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span><\/div>\n<\/div>\n\n<div class=\"form-cate\">\n<label>Questionnaire<span style=\"color:red;\">\u203b<\/span><\/label>\n<div class=\"fcap\"><strong>How did you find out about our school?<\/strong><\/div>\n<div class=\"fcontrol\"><span class=\"wpcf7-form-control-wrap your-enquete\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"your-enquete[]\" value=\"Internet search (BIL website)\" \/><span class=\"wpcf7-list-item-label\">Internet search (BIL website)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-enquete[]\" value=\"Poster at school\" \/><span class=\"wpcf7-list-item-label\">Poster at school<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-enquete[]\" value=\"Recommended by school teacher\" \/><span class=\"wpcf7-list-item-label\">Recommended by school teacher<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-enquete[]\" value=\"Recommended by friends\/acquaintances\" \/><span class=\"wpcf7-list-item-label\">Recommended by friends\/acquaintances<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-enquete[]\" value=\"Recommended by family\" \/><span class=\"wpcf7-list-item-label\">Recommended by family<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-enquete[]\" value=\"Fairs in Japan and abroad\" \/><span class=\"wpcf7-list-item-label\">Fairs in Japan and abroad<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"your-enquete[]\" value=\"Others\" \/><span class=\"wpcf7-list-item-label\">Others<\/span><\/label><\/span><\/span><\/span><\/div>\n<div class=\"fcap\" style=\"color:blue;\">\u203b Choose as many as you like.<\/div>\n<\/div>\n\n<div class=\"anr_captcha_field\"><div id=\"anr_captcha_field_1\" class=\"anr_captcha_field_div\"><input type=\"hidden\" name=\"g-recaptcha-response\" value=\"\" \/><\/div><\/div><span class=\"wpcf7-form-control-wrap g-recaptcha-response\"><\/span>\n\n<div class=\"btbox\">\n<input type=\"submit\" value=\"confirm\" class=\"wpcf7-form-control wpcf7-confirm wpcf7c-elm-step1 wpcf7c-btn-confirm wpcf7c-force-hide\" \/><input type=\"button\" value=\"back\" class=\"wpcf7-form-control wpcf7-back wpcf7c-elm-step2 wpcf7c-btn-back wpcf7c-force-hide\" \/><input type=\"submit\" value=\"send\" class=\"wpcf7-form-control wpcf7-submit\" \/>\n<\/div>\n\nThis site is protected by reCAPTCHA and the Google\n    <a href=\"https:\/\/policies.google.com\/privacy\">Privacy Policy<\/a> and\n    <a href=\"https:\/\/policies.google.com\/terms\">Terms of Service<\/a> apply.\n\n<\/div><\/form><\/div>\r\n<\/div>\r\n\r\n<script>\r\ndocument.addEventListener( 'wpcf7mailsent', function( event ) {\r\n    location = '\/en\/request\/thanks\/';\r\n}, false );\r\n<\/script>","protected":false},"excerpt":{"rendered":"Inquiry over the telephone Bunka Institute of Language\u3000\uff1a\u3000TEL\uff1a+81-3-3299-2011\u3000*Reception Time\u30009:00\uff5e17:00 Request Application Form","protected":false},"author":1,"featured_media":1497,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"tags":[],"wps_subtitle":"","_links":{"self":[{"href":"https:\/\/www.bunka-bi.ac.jp\/en\/wp-json\/wp\/v2\/pages\/161"}],"collection":[{"href":"https:\/\/www.bunka-bi.ac.jp\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bunka-bi.ac.jp\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bunka-bi.ac.jp\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bunka-bi.ac.jp\/en\/wp-json\/wp\/v2\/comments?post=161"}],"version-history":[{"count":7,"href":"https:\/\/www.bunka-bi.ac.jp\/en\/wp-json\/wp\/v2\/pages\/161\/revisions"}],"predecessor-version":[{"id":2240,"href":"https:\/\/www.bunka-bi.ac.jp\/en\/wp-json\/wp\/v2\/pages\/161\/revisions\/2240"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.bunka-bi.ac.jp\/en\/wp-json\/wp\/v2\/media\/1497"}],"wp:attachment":[{"href":"https:\/\/www.bunka-bi.ac.jp\/en\/wp-json\/wp\/v2\/media?parent=161"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bunka-bi.ac.jp\/en\/wp-json\/wp\/v2\/tags?post=161"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}