August 2012 Dear Community Member, Thank you for your interest ...

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Language Tutoring Program Tutee Application Student Name Age *If you have more than one student enrolling, please fill out a “Student Interest Sheet” for each student . Parent/Guardian Name (if under 18):__________________________ Date:________ Email:_________________________________ Phone:____________________________ Best time to be reached:_________________ Home Address: ___________________________________________________________ Mailing Address (if different): ___________________________________________________________ Have you participated in the Japanese Language Tutor Program before Yes No If so, when: _____________________________________________ Which areas of Japanese Language or culture are you interested in learning about Do you have any experience with Japanese language or culture Do you have any specific requests
Student Interest Sheet /Goals for Fall Semester To help our ASP tutors make their lesson plans, please fill out this form (or help your child fill it out) as completely as possible. The more details the better! Student Name: ___________________________________ Age: ____________ How long have you been involved in Japanese culture ___________________ My knowledge of Japanese (please circle 1 to 5: 1=no experience, 5=highly experienced) Hiragana 1 2 3 4 5 Katakana 1 2 3 4 5 Kanji 1 2 3 4 5 Speaking—slang 1 2 3 4 5 Speaking—formal 1 2 3 4 5 Origami 1 2 3 4 5 Traditional Culture 1 2 3 4 5 Modern Culture 1 2 3 4 5 History 1 2 3 4 5 By the end of this semester, my main goal is to be able to: (ex: write some hiragana, talk about my family in Japanese, etc.) I’m interested in learning about: ____ Hiragana/Katakana ____ Origami ____ Traditional Culture ____ Kanji ____ Calligraphy ____ Modern Culture ____ Speaking—Slang ____ Manga ____ Travel Tips ____ Speaking—Formal ____ History ____ Children’s Activities (songs/books/games) Qualities I want in my tutors: ____ Organized ____ Flexible ____ Talkative ____ Shy ____ Strict ____ Focused ____ Easy-Going ____ Playful Interests, hobbies, and/or other things I want my tutors to know about me:
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August 2012 Dear Community Member, Thank you for your interest ...

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