SGU-KU-CMU Intercultural Exchange 2016 (Thai Buddy) 4-15 March 2016
Enter your first name and last name. Put your nickname in parentheses after your last name, i.e., Wichian Sunitham (Waen)
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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United States
Afghanistan
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Angola
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Jersey
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Poland
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Republic of the Congo
Romania
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Senegal
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eSwatini
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Thailand
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Vanuatu
Vatican City
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British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Mobile Phone Number (Supply 66x in the first block, then 8-digit number in the second block. i.e. 668 82890170)
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Country + 8
Phone Number
E-mail
I am a
Please Select
fresher
sophomore
junior student
senior student
postgraduate student
I major in
Faculty of
Here is my most recent 160x160px photo showing my clear face
I apply for this program because I am interested in… (tick all that apply)
Japanese culture
Japanese language
Japanese people
teaching Japanese students Thai language and culture
showing Japanese friends around places in Chiang Mai and northern Thailand
participating in this cultural exchange program in Hokkaido-Tokyo in June 2016 for 12 days
participating in this cultural exchange program and Jasso Short Stay Short Visit program for 32 days in Kagawa from June - July 2016
If you have any additional information about your interest in this program, please write it in this space
State in this area on what you think you can contribute to the program and why we should choose you
I have… (tick all that apply)
joined this program in Chiang Mai in 2012
joined this program in Chiang Mai in 2013
joined this program in Chiang Mai in 2014
joined this program in Chiang Mai in 2015
joined the program in Hokkaido-Tokyo in 2012
joined the program in Hokkaido-Kagawa in 2013
joined the program in Hokkaido in 2014
joined the program in Hokkaido-Kansai in 2015
joined JASSO program in Kagawa from December 2014-January 2015
joined JASSO program in Kagawa from July - August 2015
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