Those who would like to participate in "AINOTE"'s support network,please sign up through the form below. 日本語

  1. 1. Enter personal information
  2. >
  3. 2. Enter profile
  4. >
  5. 3. Questions about your qualifications or skills
  1. >
  2. 4. Questions regarding the activities
  3. >
  4. 5. Confirm sending
  5. >
  6. 6.Confirm screen content
  7. >
  8. 7.Complete sending

1. Enter personal information

First, please include your (the senders) personal information.

必須Nameお名前

(if you are not Japanese, please write in English)
必須Katakanaフリガナ

(If autofill is incorrect, please correct)
optionalOther nameその他の名前

 (Roma-ji, Japanese notation, English notation or nickname etc.)
Postal code郵便番号
 Enter 7digit [Find a postal code]
必須Address現住所
  1. Prefecture

  2. City Town 

  3. Street address 
必須E-mail Addressメールアドレス

(If you don't have a PC, please put your cell phone e-mail)
必須Confirm E-mail Address確認のためもう一度
必須Cellphone number携帯電話番号
Cellphone mail address携帯メールアドレス
Telephone company電話会社
(house phone if you don't have a cell phone)



SoftBank  DoCoMo  au(KDDI)  WILLCOM
House phone (landline,NTT,KDDI etc.)  IP phone(BBphone,HIKARIdenwa etc.) Other
必須Contact number in case of emergency緊急連絡先電話番号
(family, company etc.)


【Contact information】      Family  Friend/Acquaintance  Work place  Other
 

【Name of contact person】  
optionalOther telephone numbersその他電話番号
Telephone company電話会社
(house number or second cellphone)

None SoftBank  DoCoMo  au(KDDI)  WILLCOM
IP phone(BBphone,HIKARIdenwa etc.)  IP phone(BBphone,HIKARIdenwa etc.) Other

2. Enter profile

必須Gender性別
male  female 
必須Nationality国籍
JAPAN 日本国  Other  
optionalProfession職業
Type of job職種
Affiliation所属
Company or public service worker  Self-employed  Part-time  Housewife  Unemployed  Other 

(If you picked other, please write here)

必須Date of birth生年月日
Age年齢
Year   Month   Day     

 (your present age)
optionalClothing size洋服のサイズ
Shoe size靴のサイズ
Up to XS  XS  S  M  L  XL  XXL  Larger than 3XL 

cm
optionalBody type体型
Height  cm   Weight   kg
Physical strength体力
Can do considerable heavy labor. 
Can do some heavy labor. 
Can do light labor. 
Okay in every day life. 
Not very strong. 
Health健康
Can stay healthy even in adverse conditions. 
Can stay comparatively healthy even if the conditions are not the greatest. 
Can stay healthy in normal every day life. 
Health can sometimes become unstable depending on the environment or conditions.  
Not very healthy, even in daily life.  

3. Questions about your qualifications or skills

Japanese ability日本語能力
No problem in daily conversation, and reading and writing.  
No problem if only conversing. 
Can converse a little. 
Know some vocabulary.  
optionalOther language1その他の言語1
Skillスキル

No problem in daily conversation, and reading and writing. 
No problem if only conversing. 
Can converse a little. 
Know some vocabulary. 
optionalOther language2その他の言語2
Skillスキル

No problem in daily conversation, and reading and writing. 
No problem if only conversing. 
Can converse a little. 
Know some vocabulary. 
optionalCar license自動車免許
Regular vehicle   Large vehicle   Motorcycle  
Mini bike   Special-purpose vehicle

Other
optionalOther qualifications資格

(Please include details of your license level,too)
optionalOther abilities or skills特技・スキル
Architecture/Construction  Communication/Broadcasting  Gas, Water related 
Distributor  Electricity/Radio waves  Fishery/Marine related 
Metal   Banking and Exchange  Political/Financial   International trade 
Ethnic/Tradition  Religious/Cultural  Cleaning/Waste  Lodging/Real Estate 
Movie creation  Musical creation   PC, SE  Internet related 
Advertisement/Sales  Planning/Performing  Dancing, Music 
Creative Arts/Acting  Photography/Art  Design/Drawing  Sports/Martial arts 
Outdoor/Recreation  Translating/Interpreting  Cooking/Food related 
Health/Nursing  Counseling/Coaching  Child-rearing/Teaching 
Sewing,/clothing  Beauty/Cosmetics  Law/Human rights 

Other

4. Questions regarding the activities

Volunteer Activity Experience支援活動の経験
Some    None 
Level of availability活動レベル
I have initiative and can be involved as one of the main members at any time.  
If there is a request, I can adjust my schedule and help out at any time.  
I can help in between work.  
If there is anything I can do from home, I can help.  
I can't be involved personally, but can help support financially.  
I can't be actively involved, but want to be updated.  
Other 
Schedule adjustments予定の調整
I can make time, even on short notice.  
I can make time if I'm contacted a few days in advance.  
I can make time if I'm contacted about a week in advance.  
I can't adjust my schedule unless I know over 10 days in advance.  
I can't adjust my schedule unless I know over one month in advance.  

If its on select days, I can make time.  
Other 
Length of availability for involvement連続活動時間
Half a day to one day  2 to 3 days  Within one week  
Around 1-2 weeks   Over 2 weeks 
Other 
Financial situation経済状況
I don't have much extra financial allowance.  
I can cover transportation costs to the meeting place, at least.  
(During activities) I can cover my own food and transportation expenses.  
(During activities) I can cover my own food, transportation, and accommodation expenses. 
I can also help with some extra for the activity, above my own expenses. 
I can provide some financial support, according to the need.  
optionalThings you own所有物
Vehicles

 
Tools

 
Living supplies

 
Camping supplies

 
Other

 
   (These are things to be used by AINOTE's work, or individual use, not to donate or send.)

5.Confirm sending

必須送信確認sending confirm