Last Name First Name  MI

Citizenship Birth Date

Present mailing address

Present telephone number

Permanent address

Permanent telephone number

Degree(s) obtained:
Degree  Date
Institution

Degree  Date
Institution

Currently attending:
Institution
Type of Program Date Began


Japanese Background
Japanese related courses:

Course   Institution
Course   Institution
Course   Institution

Work in Japan-related companies:
Dates  Position
Organization Country

Dates  Position
Organization Country

Dates  Position
Organization Country

Previous travel in Japan
Dates  Purpose

Language ability
Please rate your ability for each category: 10=fluent, 1=only a few words

Reading  Writing  Speaking  Hearing


Internship Preference
If you have a preference for an internship position, please list below (Nambu Foundation cannot guarantee placement)

Industry

Company

Type of work


Personal statement
In approximately 500 words, describe your background, career objective, your interest in the Nambu Foundation internship program and your expectations.

(Please attach statement on a separate sheet)

 

Signature Date


Check list for complete Internship Application:

  • Complete application form
  • Personal Statement
  • Resume
  • Sealed undergraduate and graduate transcripts (please mail)
  • One faculty appraisal/recommendation (please mail)
  • Two passport size photos (for visa applications)
  • Verification of Academic Schedule (Click here for sample)


Pasona Internship Program
Internship Application Review Committee
757 Third Avenue, Suite 1901
New York, New York 10017

If you have any questions please call the Pasona Internship Program at (212)551-9570
or E-mail us at japaninternship@pasona.com