Application Form for the IUJ Open Campus

Application Form for IUJ Open Campus

1. Please complete the following form and click the "Preview" button at the bottom. (If you do not have a phone number, type "0" in the field.) Fields marked in red * is required.
*Gender:	Male Female
*Name:
*Nationality:
Age:
*Affiliation:	Other:
*Latest Academic Record:	Other:
Current Work Place /University/School:
Title and Division or Faculty of University
*Country:
*Contact Address:
*Phone (Mobile if you have):
Fax:
*Email address:

2. If you will attend with family or friend, please let us know his/her name and age (for children).

Name: Age:

*3. Participation:

One-day visit
Stay overnight
Other

4. Accommodation (if you would like to stay overnight)
Ｉ would like IUJ's assistance to reserve a hotel room near Urasa Station. (6,300 yen /person/night) - Check In Date (Month Date): (eg. Aug 4) - Check Out Date (Month Date): (eg. Aug 5)
I have already reserved a room by myself. Name of the Accommodation:

*5. Degree(s) of Your Interest^*

Graduate School of International Relations:
International Relations Program
MA in International Relations
MA in International Peace Studies

International Development Program
MA in International Development
MA in Economics

Public Mnagepment and Policy Analysis Program
MA in Public Management

Graduate School of International Management:
MBA Program
MBA (2-year)

MBA (1-year) *
*Designed for sponsored students by company/organization or those who will return to their company/organization to take a leave of absence from their job. (Those who have 5 year work experience in principle.)

E-Business Management Program
Master of E-Business Management (one-year)

* IUJ does not offer undergraduate, Ph.D. or other fields of study programs.

Short Program
Intensive English Program (IEP) (8 week summer English program)

*6. Intened application year
2013 2014 No idea Other(already applied)

7. Other Matters of Your Interest
Language Programs (English or Japanese)
Placement Services
Library Services
Computer Services
Accommodation / Campus Life
Specific Matters:

*8. Transportation
by Joetsu Shinkansen "TOKI" departing from Tokyo Station by Joetsu Shinkansen "TOKI" departing from Niigata Station by Car Other

9. For Residents of countries other than Japan

Purpose of the trip to Japan:
Period of stay:	To:
Contact Address in Japan
Tel No:

10. Any Comments or Inquiries

*11. IUJ publishes monthly e-magazine in English. Do you subscribe to it?
Yes No, but I am interested; please register for me. No, and I am not interested.

Please give us the information above via fax, mail or email (contact@iuj.ac.jp) in case that you cannot submit this form.

Office of Admissions & Public Relations (OAPR)
International University of Japan (IUJ)
777 Kokusai-cho, Minami Uonuma-shi, Niigata 949-7277 JAPAN
E-mail: contact@iuj.ac.jp
Phone: 81-(0)25-779-1104 (Mon. - Fri. 8:30 AM - 5 PM)
Fax: 81-(0)25-779-1188

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