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参加資格

 

参加対象となるのは、8歳から14歳(3年生から8年生)までの、以下に該当する生徒です。(参加者は2年生を終了していなくてはなりません。)

  • 現在、日本国内外を問わず英語を学習言語とする全日制の学校(インターナショナルスクールまたは英語圏の現地校)に在籍し、日常的に英語環境下にて学習中で、日本の学校に在籍していない生徒
  •  

お申し込み方法
 

  1.  お申し込みはオンラインにて受け付けます。
  2.  日本の健康保険証をお持ちの方は、保険証コピーを渉外開発室まで、メールまたは郵便にてご提出下さい。
  3. 7月初旬までにご参加の可否及びお支払いについてのご連絡(ご参加いただける場合)をEメールにてお送りします。
  4. ご参加頂くセッションの1〜2週間前までに、持ち物など詳細なご連絡を差し上げます。
  5. お支払い期日までに参加費をお支払い下さい。(誠に恐れ入りますが、ご入金確認のご連絡は差し上げておりません。期日までにお支払いがない場合のみご連絡申し上げます。)
  6. 既に定員に達している場合、または、参加の可否が確定できない場合には、参加保留または条件付き参加許可とさせて頂く場合があります。

 (健康保険証コピー送付先)
〒463−0002 名古屋市守山区中志段味南原2686
学校法人名古屋国際学園 渉外開発室
052-736-2025 / summerprogram@nis.ac.jp

 

  • 参加者は、毎日お弁当をお持ち下さい。有料でお弁当をお申し込み頂くことも出来ます。(参加お申し込みフォームにてお申し込みいただくか、別途こちらの申し込みフォームからお申し込み下さい。)
  • 水筒(お茶か水)と着替え(水遊びの時間があります)を毎日お持ち下さい。
  • おやつはこちらでご用意します。

 

2023 サマープログラム申し込みフォーム

Required

 2023 Summer Program: July 31-August 4 

Student Information

Namerequired
First Name
Nickname (optional)
Last Name
Gender (or Preferred Gender)
Date of Birth
Must contain a date in M/D/YYYY format
Current Schoolrequired
Grade Grouprequired
Citizenship(s)/Nationality(ies)required

School History

Name of School Currently Attendingrequired
Enrolled fromrequired
Countryrequired
Language of Curriculumrequired
Language of Curriculum (Other)required
Name of School as of September 2023required
Name of School as of September 2023 (Other)required
Countryrequired
Language of Curriculumrequired
Language of Curriculum (Other)required
Previous School (only Full Time Schools)
Privious School 1required
Name of the School (full time, English based)
Countryrequired
Enrolled fromrequired
Enrolled untilrequired
Add Schoolrequired
Previous School 2required
Countryrequired
Enrolled fromrequired
Enrolled untilrequired
Language(s) Spoken at Homerequired
Spoken English Levelrequired5=Fluent 3=Communicate with effort 1=Limited
5=Fluent 3=Communicate with effort 1=Limited
Reason of Application (Please pick all that apply)required

Student Health History

1. Is the student currently being treated for a medical condition?required
Please explain.required
Does the condition require intervention at school?required
Please explain.required
2. Does the student have an ongoing illness, injury or physical challenge (or a past history) that could affect program participation?required
Please explainrequired
3. Does the student take any prescribe medication on a regular basis?required
Please explain.required
4. Does the student have any vision or hearing concern?required(i.e. difficulty seeing. crossed/reddened/watery eyes, uses hearing aid, etc.)
(i.e. difficulty seeing. crossed/reddened/watery eyes, uses hearing aid, etc.)
Please explain.required
5. The student has a SEVERE, life threatening allergy diagnosed by a physician.required
Please explain.required
Does the condition require medication?required
Please explainrequired
6. The student has an allergy diagnosed by a physician that is NOT life threatening.required
Please explain.required
Does the condition require medication?required
Please explain.required
7. Do you have concerns about the physical health of the student?required(eating/sleeping habits, bowel or bladder, teeth, skin, menstruation, weight etc.)
(eating/sleeping habits, bowel or bladder, teeth, skin, menstruation, weight etc.)
Please explain.required
8. Is the student currently covered by the Japanese Health Insurance Plan? required(日本の健康保険証をお持ちですか?)
(日本の健康保険証をお持ちですか?)

If your family is covered by the Japanese Health Insurance plan, please send the copy of the plan to summerprogram@nis.ac.jp 

日本の健康保険証をお持ちの場合は、コピーをsummerprogram@nis.ac.jp までお送りください。

Family Information

Parent /Guardian 1 (Primary Contact)required
First Name
Last Name
Phone Numberrequired
Primary Contact Phone Number
Email Addressrequired
Primary Email Address
Relationship with the Studentrequired
Relationship with the Student (Other)required
Parent/Guardian 2
First Name
Last Name
Phone Number
Email Address
Relationship with the Student
Relationship with the Student (Other)required
Home Addressrequired
Zip Coderequired

Additional Emergency Contact

Name
First Name
Last Name
Phone Number
This person is;

T-shirt Size

Please indicate your child's T-shirt sizerequired
We can not guarantee, but we will make every effort to match your order.

Lunch Order

The lunch provider can make lunches appropriate for students with allergies to dairy products, eggs, nuts and mayonnaise. Service is NOT available for students with other food allergies, and we apologize for any inconvenience this may cause.
Do you wish to order a "bento lunch" for your child?required
Type of Lunchrequired

 

Food Allergiesrequired
AllergiesrequiredCAUTION: Lunches are prepared in a facility that is NOT free of the above ingredients.
CAUTION: Lunches are prepared in a facility that is NOT free of the above ingredients.

Parent Authorization & Consent

I verify that the information on these two pages is correct and the student described has permission to participate in all Nagoya International School (NIS) Summer Program activities. I understand that my child is under school supervision but neither NIS nor those in charge shall be held responsible in case of accident.  In the event of illness, injury or accident involving my child, I understand that I will be contacted at the phone numbers listed on this document.  I give permission for NIS staff, administration or designated authorities to provide routine care and over-the-counter medication for my child’s needs.  If I cannot be reached in the event of an emergency, I authorize NIS staff, administration or designated authorities to act on my behalf involving my child, and provide treatment as warranted.  I understand that this form may be photocopied and information may be shared with members of the NIS staff.

Photo Consent: During the NIS Summer Program, photographs of your child participating in the program may be taken by staff of NIS. These photographs will be used for NIS publications, websites and official NIS social media sites (i.e. Facebook, Twitter, Instagram etc.). Student names will not appear online or in any of these publications. We also encourage all parents to post these photos on their own social media sites as well. Parents are asked to be thoughtful when posting images of students on their own social media sites, but we cannot guarantee that student names will be left off those posts. Your authorization to use photos of your child in NIS publications, website and social media, and on other parents’ social media is required for enrollment into the NIS Summer Program.


私は、前述の内容に偽りがないこと、及び、前記の生徒が名古屋国際学園(NIS)のサマープログラムの活動に参加することを許可したことを証明します。私の子どもは学校の管理下にありますが、事故が起きた場合、NISも監督責任者も責任を負わないことを理解します。私の子どもが病気やケガ、事故にあった場合には、前記の電話番号に連絡を頂くものと理解します。私は、NISのスタッフ、責任者、または指定された機関が、必要に応じて私の子どもに所定の処置または市販薬を与えることを許可します。もし緊急の場合に私に連絡がつかない場合には、NISスタッフ、責任者、または指定された機関が、私に代わり必要な応急処置をすることを認めます。私は、この書類の複製及びここに記載された情報がNISの職員に共有されることを理解します。

写真の使用許可: サマープログラムの期間中、NISの職員がお子様の写真を撮ることがあります。これらの写真は、NISの広報物、ウェブサイトおよびNISのソーシャル・メディア(フェイスブック、ツイッター、インスタグラムなど)に掲載させて頂きます。お子様の名前が掲載されることはありません。また、NISは保護者の皆様がこれらの写真をご自身のソーシャル・メディアに投稿して頂くことを推奨させて頂いております。投稿にあたりましては、お名前の表記など十分にご配慮の上ご使用頂きますようお願い申し上げます。保護者の皆様によるこれらの写真のご使用にあたりましては、NISは責任を負いかねますのでご了承下さい。プログラムご参加にあたりましては、NISの上記媒体、および、他の保護者のソーシャル・メディアへのお子様のお写真の掲載をご了解頂くものといたします。
Parent Authorization and Consentrequired
Parent/Guardian Namerequired
Daterequired
Must contain a date in M/D/YYYY format
Please untick the box if you do NOT wish to receive information about NIS programs
How did you first learn about the NIS Summer Program?requiredPlease select up to 13 choices
Please select up to 13 choices
Please explainrequired
Have you seen or followed any of our social media below?requiredPlease select up to 6 choices
Please select up to 6 choices

Thank you for your application!

NIS Monthly Newsletter

NISにご関心をお持ちの皆様に最新情報をお送りしています。
(毎月第一月曜日発行)
ご購読をご希望の方は、右上の黄色いアイコンからお申し込みください。

 

Fun from Previous Year

2023 Summer Program

Dates

  • July 31-August 4  9:00-15:00  

Application Deadlines

  • July 1

Application Requirements

Applicants must be students between Gr. 3 through 8 (entering Gr. 3) and be currently enrolled in an English-based curriculum school. (students must have finished Gr. 2). 

Session Fees

¥35,000 per student, per session (Lunch fees separate)  *Payment includes the popular Summer Program T-shirts!

 

Apply

Contact

Email: summerprogram@nis.ac.jp    
Tel: 052-736-2025
 

 

 

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