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Lecturer form

Nippon Club Culture Coursers looks for Lectures and Instructors. If you wish to become Lectures or Instructors in Nippon Club Culture Coursers, please complete all information requested on this form and send us.

Name*
Gender* MaleFemale
Email address*
HP/Blog URL
Home phone number
Cell number*
Address*



If not U.S. Citizen, type of visa*
Type of visa
Profile/Experience*
What kind of class would you like to conduct?*
How many classes or how often would you like to have your class?
（ex: Once a week/month/semester, One time or more）
Day/Time
Classroom facilities/equipment needed（ex: sink, projector…）
What do participants need to bring (by participants)
Notes
Some digital images related to your instruction if possible

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