Venue* Tokyo Sunday, 10/21 Nagoya Saturday, 10/20

Age 

Major* Humanities Business Social Sciences Science and Technologies/Engineering Arts and Music Intensive English Other Undecided

Entry Level* 4-year college 2-year college Masters Doctorate ESL Vocational/Technical school Other

Expected date of departure (month/year) 

Occupation* student employee other

Title  Mr. Ms.

First Name*

Last Name*

E-mail*

TEL 

FAX 

Zip code*

Address*

How did you hear about the U.S. University Fairs?(multiple selections)* Poster Flyer In-train AD Billboard Asahi Shukan ST Ryugaku Journal ALC Catch a Wave Website of U.S. Commercial Service Website of Fulbright Japan (Japan-U.S. Educational Commission) E-mail Newsletter Other

＜N.B.＞*

The informaiton provided above is classified and is used for statistical purposes by U.S. Commercial Service and Fulbright Japan (Japan-U.S. Educational Commission). We ask for your permission to give some of the information to the participating schools.

I agree to give this information to the participating schools at the fairs. I do not agree to give this information to the participating schools at the fairs.