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Grew Bancroft College Night

Wednesday, September 4, 2024 at 7:00 PM until 9:00 PMTokyo Standard Time UTC +09:00

The International House of Japan
5-Chome-11-16 Roppongi
Minato City, Tokyo 106-0032
Japan

Your name and identity are important. We will used preferred name in most communication to you, but some official documentation may use your legal first name. Please note this is as you complete the name portion of this form.

Student First Name

Student Preferred Name

Student Last Name

Student Date of Birth (Month, Day, Year)

Gender Identity

Female

Male

Nonbinary

Prefer not to answer

Pronouns

She/her/hers

He/him/his

They/them/theirs

Other pronouns

If your pronouns are not included in the list above, please provide your pronouns here.

Contact your admissions counselor if you want us to use different pronouns in specific circumstances.

Student Email Address

Student Phone Number

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Permanent Address

Country

Street

City

Region

Postal Code

Current School

Student Type

Entry Term (For many high school students, this is typically the fall after you graduate from high school)

Academic Interest 1

Academic Interest 2

How many people will attend this event with you (not including yourself)?