ApplicationEntry Application

After checking the details of your inquiry, a representative may contact you again.
Please note that if you leave out any required fields, an error will occur.
Contract terms vary by dormitory, so please review the details of your preferred dormitory and select the room type, meal plan, payment method, and contract period accordingly.

Full Name

Furigana

Gender

Male Female Other

date of birth

1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 Year 1 2 3 4 5 6 7 8 9 10 11 12 Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day

Home Postal Code

Home address

Name of Guarantor

Furigana of Guarantor

Guarantor's Mobile Phone Number

Father Mother Grandfather Grandmother Uncle Aunt Other

Applicant email address

Home Phone Number

Name of High School Attended

Name of College You Plan to Attend

Faculty, Department, Course

Campus

First Choice Dormitory

Dormy Gofukumachi Dormy Fukuoka Dormy Ohashi Dormy Minami-Fukuoka Dormy Kyudai-Gakkentoshi Dormy Fukudai-mae Dormy Hirao Dormy Hiraoeki-mae Dormy Fukuoka 3 (a guarantor is needed) Dormy Fukuoka 2 (a guarantor is needed) Dormy Ohorikouen Class+1 Nishi-Ohori (a guarantor is needed) Dormy Shimo-Ori Class+1 Yakuin (a guarantor is needed) Dormy Tenjin-minami Class+1 Hakata (a guarantor is needed) Dormy Hakataeki-higasi (a guarantor is needed) Dormy Kokura-Sakuradori (a guarantor is needed) Dormy Kokura Dormy Nishikokuraeki-mae Dormy Kumamoto (a guarantor is needed) Dormy Kumamotoeki-mae Dormy Kagoshima Dormy Okinawa-Omoromachi (a guarantor is needed) Dormy Nagasaki-Shindaikumachi Dormy Nagasaki-Heiwakouen Domeal Nishijin Sharely-style Hakata

Second Choice Dormitory

Dormy Gofukumachi Dormy Fukuoka Dormy Ohashi Dormy Minami-Fukuoka Dormy Kyudai-Gakkentoshi Dormy Fukudai-mae Dormy Hirao Dormy Hiraoeki-mae Dormy Fukuoka 3 (a guarantor is needed) Dormy Fukuoka 2 (a guarantor is needed) Dormy Ohorikouen Class+1 Nishi-Ohori (a guarantor is needed) Dormy Shimo-Ori Class+1 Yakuin (a guarantor is needed) Dormy Tenjin-minami Class+1 Hakata (a guarantor is needed) Dormy Hakataeki-higasi (a guarantor is needed) Dormy Kokura-Sakuradori (a guarantor is needed) Dormy Kokura Dormy Nishikokuraeki-mae Dormy Kumamoto (a guarantor is needed) Dormy Kumamotoeki-mae Dormy Kagoshima Dormy Okinawa-Omoromachi (a guarantor is needed) Dormy Nagasaki-Shindaikumachi Dormy Nagasaki-Heiwakouen Domeal Nishijin Sharely-style Hakata

Room type

Ⅰ Ⅱ Ⅲ

• Depending on the selected dormitory and its current application status, we may not be able to accommodate your request.

Meal Plan

Meals Included Meals Not Included

• Depending on the selected dormitory and its current application status, we may not be able to accommodate your request.
• Changes can be made after submission until the contract is sent.

Payment method

Monthly Semi-annual annual

• Depending on the selected dormitory and its current application status, we may not be able to accommodate your request.
• Changes can be made after submission until the contract is sent.

Contract years

1-month Contract 2-month Contract 3-month Contract 4-month Contract 5-month Contract 6-month Contract 7-month Contract 8-month Contract 9-month Contract 10-month Contract 11-month Contract 1-year Contract 2-year Contract 3-year Contract 4-year Contract

• Depending on the selected dormitory and its current application status, we may not be able to accommodate your request.
• Changes can be made after submission until the contract is sent.

School/College Admission Period

• Please enter the date or expected date in "Year/Month/Day" format of the Western calendar.
• If you are unsure of the date of decision, please enter "Unknown."

Remarks