Hyogo Prefecture High Schools July 2025

About this student
This field is hidden when viewing the form
Is this student part of a study group?*
- Yes
- No
Study group name*
Study group contact person*
What school, university or college is the student attending?*
留学予定の学校名
Type of Homestay required?*
- Full Board (3 meals per day)
- Traditional (Breakfast and dinner weekdays and 3 meals on weekends)
Student Name*
名前
First name Surname
Student email address*
メールアドレス
Student gender*
- Male o 男
- Female o 女
Student date of birth*
誕生日（日・月・年）
DD dash MM dash YYYY
When would you like accommodation from?
DD dash MM dash YYYY
When do you require accommodation to?
いつまで必要ですか？
DD dash MM dash YYYY
This field is hidden when viewing the form
What date is the final date of school?
終了日
MM slash DD slash YYYY
Airport pickup by Talkabout Tours?
- Yes
- No

Some more student details
Let us know some of the finer details about you. This helps us match you with a great host family.
Your address
現住所

Street Address Address Line 2 City State / Province / Region Country
Your mobile phone number
携帯電話番号

About this student