SGI-USA February 2018 Youth Training Course Application

For Chapter through National Youth Leaders

Name on Passport

First Name as it appears on passport *

Middle Name as it appears on passport

Last Name as it appears on passport *

Preferred Name (for name plate)

Preferred First Name *

Preferred Middle Name

Preferred Last Name *

Your division *

Your leadership position *

Date of birth

Date joined *

Your chapter (Start typing to view list and select) *

Occupation *

Passport/Visa valid up to September 2018 to leave and
re-enter the U.S.? * Yes
No

Note: Please ensure that your passport/visa is valid through September 2018. If not, please immediately apply for passport/visa renewal because all final travel information needs to be submitted by January 10th to SGI.

Please select your passport's country of issue *

Note: If your selected country of issue has a '*', you will need a visa to enter Japan. Please contact your local consulate if you do not have a current visa.

Phone number

Dietary restrictions * Note: Dietary restrictions beyond vegetarian cannot be accomodated. Vegan, gluten free or other dietary options are unavailable.

This trip will require lots of walking. Do you have a condition that prevents you from walking long distances? Yes
No

Application Questions

Note: Your responses to these questions are not the only determining factor for your participation in the training course.

Have you sponsored someone to receive Gohonzon recently? *

What do you feel it will take to have victory in your organization toward the 50,000 Lions of Justice Festival? * (300 characters)

If you were to attend the training course, what question would you ask? * (300 characters)

What is your determination toward this Training Course? * (300 characters)

Can you speak Japanese? - and if so please select at what proficiency *

* Required fields