Japanese Language Center

6011 152nd Avenue SE

Bellevue, WA 98006
Telephone: 425-891-2129

Fax: 1-612-241-9652

日本語センター　

Japanese Language Center Course Enrollment

We will close enrollment when a class gets 6 registrants. Please register early before the class becomes full.

To submit your application via mail:

Click on the Button Below. This will take you to a Print Friendly version of this form.
Then fill in the form, sign and mail with your payment (checks in US funds payable to JLC) to: JLC, 6011 152nd Ave SE, Bellevue, WA 98006.

To submit your application online:

Fill in the form
Click on the button below. You will need a credit card (Visa, MasterCard, Discover or American Express) to complete the transaction.

* Name :

* required fields

* e-Mail :

* Phone :

* Address :

* City :

* State :

* ZIP :

Additional Information :

Gender :

Male Female

Age :

Why are you interested in learning Japanese?

Business	Want to teach English in Japan / JET Program
Tutorial for High school/University	Plan on Traveling to Japan
Want to Study in Japan	Family member speaks Japanese
Want to work in Japan	Just Curious
	Other

* Indicate type of Enrollment :

Group/Intensive/Camp Private

Semi-Private 2 Students Semi-Private 3 Students

Please Select Class and Time :