Japanese Materials Application: Step One
Please fill out the form to tell us about yourself.

APPLICATION FORM: PART I

To request the access to the video clips, and to make inquiries, CALPER requires that you complete the form in Step One to provide us with contact and professional information, and your acceptance to use these materials per CALPER's Use-Agreement. In Step Two you will be asked to provide us with specific course information. When you have completed these two steps, you will receive confirmation that your information has been received and will be reviewed. You will receive an email from CALPER at the email address you've provided, within a few days.
All fields are required, unless otherwise noted!

Institution:
Last Name:
First Name:
Department:
Street Address:
Street Address 2:  (Optional)
City:
State: Overseas Applicants: Select "XX" for this option
Zip Code: Overseas Applicants: Enter "000000"
Country: (Optional)
Email Address:
Phone Number: (Optional)


Topic Areas of Interest:

How did you hear about this site?
Email List
Conference/Workshop
Newsletter
Another Site
Colleagues/Friends

Questions or Comments: (Optional: 255 characters MAX)


Agreement
The video clips provided through this site are intended for use by Japanese language instructors and learners only, and are not for sales or for redistribution. If you intend to use the materials for other purposes than class instruction, you need to notify Junko Mori and obtain her permission. If persons other than students (e.g., colleagues) inquire about getting the materials, please refer them to this site or to Junko Mori , who will then contact the individual(s). It is important to follow these guidelines because the participants gave us their consent under these conditions.

I Accept