High School Students to Japan:
Application to go on this trip
Our homestay families
Thoughts on Homestay
Trip check list
Frequently asked questions
(Applications are closed)
Email me, Steve Comstock
to enquire about the possiblity of entering a late application.
NOTE: you must currently be attending high school in the metro Denver
area (including Boulder and in between) to be eligible to go on this trip.
This form gathers information about you and builds a web page using that info.
After you click 'Submit', some basic syntax checks are run and if those tests
are successful, your web page is displayed (there is some delay, so please have patience).
At the same time, the webmaster and one of the trip leaders will be sent an
email telling them to contact you, to finish the process. The webmaster will
integrate your page into the site and the trip leader will talk to you about
the process from here on.
If you have any difficulties, please contact me, Steve Comstock,
at email@example.com and I will
endeavor to fix the problem.
* - indicates a required field
* Your first name ("given name"):
* Your last name ("family name"):
Birthday. Year (yyyy):
* Email address:
Cell phone #: (leave blank if you don't have a cell phone)
* High school:
* Graduating class:
For phone numbers or email addresses you do not know, please code 'n/a'.
* Japanese teacher name:
* Japanese teacher email:
* Japanese teacher phone #:
(If you do not have a Japanese
teacher, enter 'none' in all three fields)
* Additional reference 1:
* Reference #1 email:
* Reference #1 phone:
* Additional reference 2:
* Reference #2 email:
* Reference #2 phone:
File name for picture:
(do not worry if your picture does not fit right: I will
adjust it personally when I get it)
Parent / guardian 1:
Parent / guardian 2:
Street Address line 1:
Street Address line 2:
Enter up to three phone numbers, in order of preference
* Phone 1:
Note: once you press 'Submit', you will not be able to modify your data: only the
webmaster can do that. However, you can contact the webmaster
to request changes (or removal of your record so that you can submit again).