Application Form

Application Form

Tamagawa University IB Education Forum “Preparing Students in Japan for the 21st Century” Registration Form Saturday, November 27th, 2010 9:00~16:20 Tamagawa Gakuen 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-Yurigaoka Station ; change to Local Train ; go 3 stops; get off at Tamagawagakuen-mae Station ●From Yokohama or Shin-Yokohama (50 minutes) Take JR Yokohama Line; get off at Machida Station ; change to Odakyu Local Line ; get off at Tamagawagakuen-mae Station Information Tamagawa University Research Institute TEL:042-739-8666 FAX:042-739-8663.

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