{"id":489,"date":"2024-02-09T11:12:14","date_gmt":"2024-02-09T11:12:14","guid":{"rendered":"https:\/\/www.japanesesundayschool.org.au\/en\/?page_id=489"},"modified":"2024-02-10T10:53:39","modified_gmt":"2024-02-10T10:53:39","slug":"questionnaire-for-box-students","status":"publish","type":"page","link":"https:\/\/www.japanesesundayschool.org.au\/en\/questionnaire-for-box-students\/","title":{"rendered":"Questionnaire &#8211; For international students"},"content":{"rendered":"\n\n<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-7341ae23-8bc4-45ba-9f64-88b0cf6108aa\" id=\"wpforms-490\"><form id=\"wpforms-form-490\" class=\"wpforms-validate wpforms-form\" data-formid=\"490\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/489\" data-token=\"9a1557e313b99b997c49ba4f87bb7d6f\" data-token-time=\"1788685348\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-490-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><label class=\"wpforms-field-label\">\u5165\u5b66\u5e0c\u671b\u751f\u5f92\u6c0f\u540d * Child&#039;s name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-490-field_3\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][3][first]\" required><label for=\"wpforms-490-field_3\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-490-field_3-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][3][last]\" required><label for=\"wpforms-490-field_3-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-490-field_31-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"31\"><label class=\"wpforms-field-label\">\u3075\u308a\u304c\u306a * Child&#039;s name in Japanese <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-490-field_31\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][31][first]\" required><label for=\"wpforms-490-field_31\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-490-field_31-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][31][last]\" required><label for=\"wpforms-490-field_31-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-490-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-490-field_14\">\u751f\u5f92\u751f\u5e74\u6708\u65e5 * Date of birth <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-490-field_14\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][14]\" required><\/div><div id=\"wpforms-490-field_18-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-490-field_18\">\u751f\u5f92\u5e74\u9f62\u3010\u6b73\u3011* Age <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-490-field_18\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][18]\" step=\"any\" required><\/div><div id=\"wpforms-490-field_17-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"17\"><label class=\"wpforms-field-label\">\u751f\u5f92\u6027\u5225 * Gender <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-490-field_17\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-490-field_17_1\" name=\"wpforms[fields][17]\" value=\"M\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-490-field_17_1\">M<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-490-field_17_2\" name=\"wpforms[fields][17]\" value=\"F\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-490-field_17_2\">F<\/label><\/li><\/ul><\/div><div id=\"wpforms-490-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-490-field_19\">\u73fe\u5730\u6821\u5b66\u5e74 * School year <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-490-field_19\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][19]\" required><\/div><div id=\"wpforms-490-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-490-field_20\">\u304a\u4f4f\u307e\u3044\u30b5\u30d0\u30fc\u30d6 * Suburb <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-490-field_20\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][20]\" required><\/div><div id=\"wpforms-490-field_8-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"8\"><label class=\"wpforms-field-label\">\u4fdd\u8b77\u8005\u6c0f\u540d * Parent&#039;s name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-490-field_8\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][8][first]\" required><label for=\"wpforms-490-field_8\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-490-field_8-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][8][last]\" required><label for=\"wpforms-490-field_8-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-490-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-490-field_22\">\u9023\u7d61\u5148\u756a\u53f7 * Contact number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-490-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" required><\/div><div id=\"wpforms-490-field_9-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-490-field_9\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-490-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-490-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-490-field_23\">\u304a\u5b50\u69d8\u306e\u51fa\u751f\u5730 * Country of origin <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-490-field_23\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][23]\" required><div class=\"wpforms-field-description\">The following will be a valuable resource for assessing your child&#8217;s Japanese language level, so we appreciate your cooperation.<\/div><\/div><div id=\"wpforms-490-field_24-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-490-field_24\">\u304a\u5b50\u69d8\u306e\u751f\u80b2\u5730 * Where did your child grow up? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-490-field_24\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][24]\" required><\/textarea><div class=\"wpforms-field-description\">Example: March 2010 &#8211; June 2011 France, 2011 &#8211; Australia<\/div><\/div><div id=\"wpforms-490-field_25-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-490-field_25\">\u3054\u5bb6\u5ead\u306e\u4f7f\u7528\u8a00\u8a9e\u5272\u5408 &#8211; \u4ee5\u4e0b\u3010\u4f8b\u3011\u3092\u53c2\u8003\u306b\u3001\u2460\u304b\u3089\u2463\u307e\u3067\u3059\u3079\u3066\u3054\u8a18\u5165\u4e0b\u3055\u3044\u3002What languages does your child speak? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-490-field_25\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][25]\" required><\/textarea><div class=\"wpforms-field-description\">\u3010\u4f8b\u3011\u65e5\u672c\u8a9e\uff1a80\uff05\u3001\u82f1\u8a9e\uff1a20\uff05<\/div><\/div><div id=\"wpforms-490-field_26-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"26\"><label class=\"wpforms-field-label\">\u304a\u5b50\u69d8\u306f\u3069\u306e\u3088\u3046\u306b\u65e5\u672c\u8a9e\u3092\u304a\u4f7f\u3044\u3067\u3059\u304b\uff1f * How much Japanese does your child speak at home? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-490-field_26\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-490-field_26_1\" name=\"wpforms[fields][26]\" value=\"\u65e5\u672c\u8a9e\u3092\u4e2d\u5fc3\u306b\u3057\u3066\u8a71\u3059\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-490-field_26_1\">\u65e5\u672c\u8a9e\u3092\u4e2d\u5fc3\u306b\u3057\u3066\u8a71\u3059<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-490-field_26_2\" name=\"wpforms[fields][26]\" value=\"\u82f1\u8a9e\u3092\u4e2d\u5fc3\u306b\u3057\u3066\u8a71\u3059\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-490-field_26_2\">\u82f1\u8a9e\u3092\u4e2d\u5fc3\u306b\u3057\u3066\u8a71\u3059<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-490-field_26_3\" name=\"wpforms[fields][26]\" value=\"\u65e5\u672c\u8a9e\u3068\u82f1\u8a9e\u304c\u534a\u5206\u304f\u3089\u3044\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-490-field_26_3\">\u65e5\u672c\u8a9e\u3068\u82f1\u8a9e\u304c\u534a\u5206\u304f\u3089\u3044<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-490-field_26_4\" name=\"wpforms[fields][26]\" value=\"\u65e5\u672c\u8a9e\u306e\u307f\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-490-field_26_4\">\u65e5\u672c\u8a9e\u306e\u307f<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-490-field_26_5\" name=\"wpforms[fields][26]\" value=\"\u82f1\u8a9e\u306e\u307f\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-490-field_26_5\">\u82f1\u8a9e\u306e\u307f<\/label><\/li><\/ul><\/div><div id=\"wpforms-490-field_27-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-490-field_27\">\u3072\u3089\u304c\u306a\u306e\u8aad\u307f\u66f8\u304d\u306f\u3069\u306e\u4f4d\u51fa\u6765\u307e\u3059\u304b\uff1f * How much &#039;Hiragana&#039; is your child able to read and write? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-490-field_27\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][27]\" required><\/textarea><\/div><div id=\"wpforms-490-field_28-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-490-field_28\">\u30ab\u30bf\u30ab\u30ca\u306e\u8aad\u307f\u66f8\u304d\u306f\u3069\u306e\u4f4d\u51fa\u6765\u307e\u3059\u304b\uff1f * How much &#039;Katakana&#039; is your child able to read and write? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-490-field_28\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][28]\" required><\/textarea><\/div><div id=\"wpforms-490-field_29-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-490-field_29\">\u6f22\u5b57\u306e\u8aad\u307f\u66f8\u304d\u306f\u3069\u306e\u4f4d\u51fa\u6765\u307e\u3059\u304b\uff1f * How much &#039;Kanji&#039; is your child able to read and write? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-490-field_29\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][29]\" required><\/textarea><\/div><div id=\"wpforms-490-field_32-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-490-field_32\">\u65e5\u672c\u8a9e\u3092\u52c9\u5f37\u3057\u3088\u3046\u3068\u601d\u3063\u305f\u304d\u3063\u304b\u3051\u3092\u6559\u3048\u3066\u304f\u3060\u3055\u3044 * Please tell us your child&#039;s motivation for learning Japanese <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-490-field_32\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][32]\" required><\/textarea><\/div><div id=\"wpforms-490-field_33-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-490-field_33\">\u65e5\u672c\u8a9e\u5b66\u7fd2\u306e\u5177\u4f53\u7684\u306a\u76ee\u7684\u3084\u76ee\u6a19\u3092\u6559\u3048\u3066\u304f\u3060\u3055\u3044 * Please tell us any specific goals or objectives your child has for learning Japanese <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-490-field_33\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][33]\" required><\/textarea><\/div><div id=\"wpforms-490-field_34-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"34\"><label class=\"wpforms-field-label\">\u73fe\u5730\u306e\u5b66\u6821\u3067\u65e5\u672c\u8a9e\u3092\u5b66\u3093\u3060\u3053\u3068\u306f\u3042\u308a\u307e\u3059\u304b\uff1f * Have you studied Japanese at a local school? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-490-field_34\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-490-field_34_1\" name=\"wpforms[fields][34]\" value=\"\u306f\u3044  * Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-490-field_34_1\">\u306f\u3044  * Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-490-field_34_2\" name=\"wpforms[fields][34]\" value=\"\u3044\u3044\u3048 * No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-490-field_34_2\">\u3044\u3044\u3048 * No<\/label><\/li><\/ul><\/div><div id=\"wpforms-490-field_35-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-490-field_35\">\u4e0a\u8a18\u304c\u300c\u306f\u3044\u300d\u306e\u5834\u5408\u3001\u3042\u306a\u305f\u306e\u304a\u5b50\u69d8\u306e\u65e5\u672c\u8a9e\u306e\u30ec\u30d9\u30eb\u306f\u73fe\u5728\u3069\u306e\u304f\u3089\u3044\u3067\u3059\u304b\uff1f * If Yes, what level of Japanese language is your child currently at? e.g. Basic, intermediate, advanced? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-490-field_35\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][35]\" required><\/textarea><\/div><div id=\"wpforms-490-field_36-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"36\"><label class=\"wpforms-field-label\">\u30a2\u30ec\u30eb\u30ae\u30fc\u306e\u6709\u7121 * Does your child have any allergies? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-490-field_36\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-490-field_36_1\" name=\"wpforms[fields][36]\" value=\"\u6709 * Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-490-field_36_1\">\u6709 * Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-490-field_36_2\" name=\"wpforms[fields][36]\" value=\"\u7121 * No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-490-field_36_2\">\u7121 * No<\/label><\/li><\/ul><\/div><div id=\"wpforms-490-field_30-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-490-field_30\">\u305d\u306e\u4ed6\u4f55\u304b\u53c2\u8003\u306b\u306a\u308b\u60c5\u5831\u304c\u3042\u308a\u307e\u3057\u305f\u3089\u6559\u3048\u3066\u4e0b\u3055\u3044\u3002* If you have any other information that would be helpful, please let us know.<\/label><textarea id=\"wpforms-490-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\" ><\/textarea><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-490-field-hp\" class=\"wpforms-field-label\">Phone<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-490-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"490\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.japanesesundayschool.org.au\/en\/wp-json\/wp\/v2\/pages\/489\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-490\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-489","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.japanesesundayschool.org.au\/en\/wp-json\/wp\/v2\/pages\/489","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.japanesesundayschool.org.au\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.japanesesundayschool.org.au\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.japanesesundayschool.org.au\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.japanesesundayschool.org.au\/en\/wp-json\/wp\/v2\/comments?post=489"}],"version-history":[{"count":4,"href":"https:\/\/www.japanesesundayschool.org.au\/en\/wp-json\/wp\/v2\/pages\/489\/revisions"}],"predecessor-version":[{"id":498,"href":"https:\/\/www.japanesesundayschool.org.au\/en\/wp-json\/wp\/v2\/pages\/489\/revisions\/498"}],"wp:attachment":[{"href":"https:\/\/www.japanesesundayschool.org.au\/en\/wp-json\/wp\/v2\/media?parent=489"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}