J-Course Cultural Workshop Online Application
*Before completing this application form, please check the 'General Information' section by clicking here
Applicant Details
First Name:
Last Name:

Age: (optional)
(16-25) (26-30) (31-35) (36-40) (41-45) (46-50) (50+)

Contact Details  
Emergency Mobile Number:
1. Please inform us of your Japanese language learning experience (duration, institution, textbook, etc.)
*If you have already informed us via email, please skip.
2. Are you a JPF Sydney member? (Please note: Library membership is not JPF Sydney membership.)
Yes     Membership Number:
3. How did you find out about our Japanese language courses?

JPF Website    Japan Foundation's E-Newsletter    Facebook    Twitter

Word of Mouth    Japanese Film Festival (trailer)    Other

4. Terms and Conditions for Cultural Workshop
- In the case that enrolment does not reach the minimum number of 10, the course may be cancelled.
- Course fees will not be refunded unless the course is cancelled due to low enrolment numbers.
Acknowledgment (Please tick below)
I have read and agreed to the above Terms and Conditions.

Enquiries & E-mail: jcourse@jpf.org.au