SHIMA Application form

Candidate Information

First Name *

Last Name *

Gender *

Male

Female

Birth Date *

Year

Month

Day

High School Name *

Grade *

1st Grade

2nd Grade

3rd Grade

Major *

Postal Code *

Home Address *

Phone Number *

E-mail Address *

First Name *

Last Name *

Relation to the student *

Parent

Guardian

Emergency Phone Number *

Please write an introduction about yourself in English. (200 words) *

1) Background (200 words) : Describe how Okinawa has shaped you as a person? *

2) Motivation (200 words) : Describe why you're interested in this program,and how will it benefit you in the future? *

3) Fit to the program theme (200 words) : How important is the ocean to you, and why? *

Leave this field blank