Embassy of
2627 Roxas Boulevard,
Pasay City
Tel. No. (02)
551-5710 loc 2313
Fax No. (02) 551-5784
HELLO!
Hello!
To schedule a session at your school or at the Embassy of
Name of School/Organization: ______________________________________________
School Address:
_________________________________________________________
Name of Coordinator: ____________________________________________________
Position at School:
_______________________________________________________
School Phone No: ( ) ______________________ Fax: ( ) ____________________
Other Contact Number ( ) ______________________________
Email Address:
______________________________
I.
School and
Class Information
a.
Grade or Year Level:
_______________________________________
b.
Type:
Public or Private
(Please encircle one.)
c.
Date and Time you would like to schedule Hello!
Preferred
Choice: Date:_______________ Time: _______________
2nd
Choice: Date:
______________ Time: _______________
3rd
Choice: Date: ______________ Time: _______________
d.
Class or Group Size (Please limit group size to 45 or
less) _____________
e.
Students’ background knowledge regarding
For School Visits only:
A/V Equipment Available for Use (Please
check all that apply.)
TV with VCR
VCD or DVD
Player
PA
system
Large Screen
LCD Projector Others:
_____________________
I.
Content of
Presentation:
(Please state your preferences regarding the content
of the Hello! Japan so that we can design a program to meet the interests of
your students.)
a.
Topics of Interest about
_____________________________________________________________________
_____________________________________________________________________
b.
Specific Topic for Hello!
_____________________________________________________________________
_____________________________________________________________________
To
facilitate scheduling, all requests should be made at least two weeks to one month in advance of presentations.
Please
complete and fax this form to: (02) 551-5784. We will call you as soon as we
received the accomplished request form. Thank you.