HARP Form Reception

高志のあかり中学校（夜間中学）体験授業・学校説明会申し込みフォーム（英語）

Koshi no Akari Junior High School (Nigh Junior High School) Trial Classes and School Information Session
Registration Form

Toyama Prefectural Koshi no Akari Junior High School (Night Junior High School) will be holding trial classes and a school information session.
If you are interested in Night Junior High School or would like to learn more, please feel free to join us.
If you need to cancel your registration, please call us at 076-444-3370.

Date and Time: July to December 2026, 6:00-7:30 PM and 2:00-3:30 PM
Location: Toyama Region Center Lifelong Learning College
(Located within Toyama Prefectural Yuho High School)

Items with a mark of*must be completed. Please be sure to fill them out.
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申込書

【1】Name*

(200 characters or less)

【2】Phone number

Example:0123456789、012-345-6789

【3】Email address

【4】Will you be accompanied by anyone on the day of the event? (e.g., a translator, a companion)*

I will attend alone. (No one will accompany me.)
I will attend with someone.

【5】(If traveling with someone) Name of traveling companion*

(200 characters or less)

【6】Dates for Trial Classes*

Please select all the dates you wish to attend.If you plan to attend only one of the two subjects,please select the date here and then enter the specific subject in[9]Additional Comments.To cancel,please contact us by phone(076-444-3370).To add additional dates,please select them again and submit the form.
(Select up to 6)

July 10 (Fri) 6:00 PM - 7:30 PM English & Math
July 12 (Sun) 2:00 PM - 3:30 PM Japanese & Social Studies
August 26 (Wed) 6:00 PM - 7:30 PM Social Studies & Technology
August 27 (Thu) 6:00 PM - 7:30 PM Science & English
Monday, September 14, 6:00 PM - 7:30 PM Japanese Language & Science
Wednesday, September 16, 6:00 PM-7:30 PM Math & Japanese Language
Not interested

【7】School Information Session (Preferred Date)*

All school information sessions cover the same content.They are scheduled to take place for approximately 20 minutes starting at 6:55 PM(or2:55PM)following the trial class.
(Select up to 6)

【8】Individual Consultation Session (Preferred Date)*

(Select up to 6)

【9】Additional Comments

If you plan to attend a trial class for only one subject,please specify which subject.(Example:Attending only the English class on July 10.)Please also note any questions or topics you would like to discuss at the information session or other events.
(9999 characters or less)

Department Name	富山県教育委員会教育みらい室夜間中学設置準備担当
Phone Number	0764443370
Email Address	ml-yakanchugaku@pref.toyama.lg.jp