IB Education Forum “Preparing Students in Japan for the 21st Century” Registration Form

Saturday, November ２７th, ２０１０ ９：００～１６：２０ Auditorium ＦＡＸ：０４２－７３９－８６６３ [email protected]

A Name B Organization C Address

D Tel F E Fax e-mail G Choice of Break Out Sessions Please choose and tick (✔) one break-out session out of Sessions 1-3, and another session from Sessions 4-6. □ Break Out Session 1 “Tokyo University’s Global 30 Desired Student Profile” □ Break Out Session 4 “The Path to DP Implementation at an Article 1 School”

□ Break Out Session 2 “The IB Primary Years Program” □ Break Out Session 5 “DP Japanese”

□ Break Out Session 3 “Article 1 School MYP Examples” □ Break Out Session 6 “Common Questions about IB Education” H Simultaneous Interpretation □ Necessary □ Unnecessary I Optional Networking Social Event (plus 3,000 yen) □ Will attend □ Will not attend

Please forward payment for the IB Education Forum and the Optional Social Event ( if you plan to attend the social event ) by Ginko Furikomi ( bank transfer ) to the account number below by Thursday 18 November.

Forum Registration Fee (lunch included) 2,000yen／Optional Social Networking Event 3,000yen (total 5,000yen)

Ginko furikomi (bank transfer) account information *Please use Furikomi Youshi. (bank's money-transfer form) B A N K TOKYO TOMIN BANK TAMAGAWAGAKUEN BRANCH *Please mention participant's name on remitter's name column. 銀 行 名：東京都民銀行 玉川学園支店 *In case you like to remit together for a list of people, would

Account Number Ordinary deposit you mention the name of the academy you belong and leader’s 口座番号：普通預金 ０４３４２１０ name of the group on remitter's name column. Account Holders TAMAGAWAGAKUEN *Please retain a copy of the bank transfer form as proof of payment. 口座名義：学校法人 玉川学園 *Bank charge will be borne by yourself.

Gakuen ●From Shinjuku (40 minutes) Auditorium Take the Odakyu Express train; get off at Shin- ; change to Local Train ; go 3 stops; get off at Tamagawagakuen-mae Station ●From Yokohama or Shin-Yokohama (50 minutes) Take JR ; get off at ; change to Odakyu Local Line ; get off at Tamagawagakuen-mae Station

Information Tamagawa University Research Institute TEL:042-739-8666 FAX:042-739-8663