ICC Yokohama School Information Inquiries Form

Please fill out the form below. We will get in touch with you shortly.


Subject (Required¡Ë Brochure request Trial lesson Course information Others
Full name (Required¡Ë
Corporate name
Gender ¡¡Male¡¡ ¡¡Female¡¡
Zip code (Required¡Ë
Address (Required¡Ë
Telephone number
Mobile phone number
E-mail address (Required¡Ë
Purpose of study
Desired language (Required¡Ë
Desired course ¡¡ Private Lessons
¡¡ Semi-Private Lesson
¡¡Intensive lessons
¡¡On-site lessons
¡¡Corporate Language Training Programs
¡¡ Other courses
How did you know about ICC¡©

Internet ¢Í ¡¡Google ¡¡Yahoo! Japan ¡¡Other search engine
¡¡Facebook ¡¡NHK textbooks ¡¡ Other magazines
¡¡From friends ¡¡Building sign ¡¡Posters ¡¡Others¡¡


For students who would like to take a trial lesson.
What is your proficiency level?

Complete beginner
Basic level
Intermediate level
Higher intermediate level
Advanced level

Desired date / time, first preference
Desired date / time, second preference Date Month Time
Desired date / time, third preference Date Month Time

Contact telephone number (Required¡Ë

Upon enrollment, how long would you like to study?

Below 1 month ( Intensive courses )
About 3 months
4 months - 1 year
I haven't decided yet.

When would you like to start?

I would like to start as soon as possible.
Within a month.
I haven't decided yet.

Please indicate the desired days and times.


Please check the above information carefully and press