Apply to go on High School Students to Japan

High School Students to Japan:
Application to go on this trip

Taking off

Plane taking off

NOTE: you must currently be attending high school in the metro Denver area (including Boulder and in between) to be eligible to go on this trip.

NOTE: There is a lot of walking each day on this trip: 4 to 8 miles is typical. If you are not able to sustain that, we might not be able to include you on this trip.

This form gathers information about you and builds a web page using that info.

After you click 'Submit', some basic syntax checks are run and if those tests are successful, your web page is displayed (there is some delay, so please have patience).

At the same time, the webmaster and one of the trip leaders will be sent an email telling them to contact you, to finish the process.

The webmaster will integrate your page into the site and the trip leader will talk to you about the process from here on.

If you have any difficulties, please contact me, Steve Comstock, at steve@trainersfriend.com and I will endeavor to fix the problem.

* - indicates a required field

Your information

* Your first name ("given name"):
* Your last name ("family name"):

  Gender: Female Male         Birthday. Year (yyyy): Month (mm): Day (dd):

* Email address:
  Cell phone #:     (leave blank if you don't have a cell phone)

* High school:

* Graduating class:    2023    2024    2025    2026

* Japanese teacher name:
   * Japanese teacher email:
   * Japanese teacher phone #:

       (If you do not have a Japanese teacher,
        enter 'none' in all three fields)

Note that references may not be family members. They should be teachers or people who know you through volunteering or your place of worship. If you identified a Japanese teacher, do not include them as a reference: specify an additional person.

* Additional reference 1:
   * Reference #1 email:
   * Reference #1 phone:

* Additional reference 2:
   * Reference #2 email:
   * Reference #2 phone:

  File name for picture:
  (do not worry if your picture does not fit right: I will adjust it personally when I get it)

Family information
* Parent / guardian 1:     (full name)
     * Relationship:
     * Email:              (if no email, write 'none')
       Enter up to three phone numbers, in order of preference
        * Phone 1:      Mobile   Home   Work
          Phone 2:      Mobile   Home   Work
          Phone 3:      Mobile   Home   Work

   Parent / guardian 2:     (full name)
       Relationship:
       Email:               (if no email, write 'none')
       Enter up to three phone numbers, in order of preference
          Phone 1:      Mobile   Home   Work
          Phone 2:      Mobile   Home   Work
          Phone 3:      Mobile   Home   Work

* Street Address line 1:
  Street Address line 2:
* City:                    , Colorado
  ZIP code:

Any allergies / medical info we need to know about

Hobbies, special interests

School and community activities

Any outstanding achievements

Describe your previous travel experience

How would you rate your Japanese language skills?
Conversation:   None   Basic   Intermediate   Fluent
Reading:        None   Basic   Intermediate   Advanced
Writing:        None   Basic   Intermediate   Advanced

What do you like about Japan or Japanese culture?

What do you hope to get from this adventure?

Note: once you press 'Submit', you will not be able to modify your data: only the webmaster can do that. However, you can contact the webmaster to request changes (or removal of your record so that you can submit again).

Related links

Taking off