LbE Global Leaders

Which region of Japan do you live in? * The region you select will be the region you will be eligible to participate in programs. Please do NOT choose a region unless you truly live within that region. If you cannot find your listed region, please contact us at info@lbegloballeaders.com. More information on regions: https://en.wikipedia.org/wiki/List_of_regions_of_Japan

KANTO (Tokyo, Yokohama, Saitama, Chiba, Ibaraki, etc.)

KANSAI (Osaka, Kobe, Kyoto, etc.)

KYUSHU (Fukuoka, Nagasaki, Oita, Saga, etc.)

Hiroshima

Hokkaido

Which PREFECTURE do you live in? * More information on prefectures: https://en.wikipedia.org/wiki/Prefectures_of_Japan

We are only displaying the prefectures where we are currently accepting LbE Global Leader registrations. If the prefecture you currently live in is not displayed on this list, we may not be accepting your registration at this time. For more information or questions, please email us at info@lbegloballeaders.com

KANTO - Tokyo

KANTO - Kanagawa

KANTO - Saitama

KANTO - Ibaraki

KANTO - Chiba

KANTO - Tochigi

KYUSHU - Oita

KYUSHU - Fukuoka

KYUSHU - Saga

KYUSHU - Nagasaki

KYUSHU - Kumamoto

KANSAI - Kyoto

KANSAI - Osaka

KANSAI - Shiga

KANSAI - Nara

KANSAI - Hyogo

KANSAI - Wakayama

CHUGOKU - Hiroshima

HOKKAIDO - Hokkaido

First Name * (As it appears in your passport) Please avoid using all capital letters.

Last Name * (As it appears in your passport) Please avoid using all capital letters. If you do NOT have a last name, type "NONE"

Your Nickname (how would you like us to call you?) * Your nickname will be displayed in katakana on your name tag during programs so that students can properly pronounce it.

Nickname (in Katakana)

What is your country of origin? * What is your home country that you would like to represent? The country you list will be the country you will get to PROUDLY share with Japanese students. By becoming an LbE Global Leader, you become an AMBASSADOR OF YOUR COUNTRY!

What is your Facebook ID (URL Format) * We do not look at your profile for the purpose of Global Leader eligibility. We use this as a reference as we would like you to "friend" us on Facebook to join our LbE Global Leader Community, which will be important for recruitment and announcement purposes.

Email * Please type in the SAME email address that you used to log into the LbE Global Leader website. You must use THIS email address at all times whenever you register for programs, as your email will act as your unique ID.

CONFIRM Email * Ensure that the email you have typed previously is correct, then re-type it here.

Japanese Mobile Phone * FORMAT: xxx-xxxx-xxxx. This is needed in case we need to contact you in an emergency. Please do not list someone else's number. If you do not have a number, please type: 000-0000-0000

Gender * We ask this for the purpose of multi-person rooming accommodations for situations where programs require accommodations (multi-day programs).

Female

Male

Other (may not be considered for programs that require accommodation)

Prefer not to say (may not be considered for programs that require accommodation)

What is your date of birth? *

In some programs, meals are provided. If you have any food restrictions, please write your food restrictions based on dietary habits which reflect your food preferences related to your religion or health status.

The current food restrictions we handle are as follows:

*

Vegetarian: No meat, including no seafood.

Vegan: No meat, no eggs, no milk, etc.

Halal: No pork, no alcohol, etc.

STRICT Halal: No pork, no alcohol, no non-halal meat, no mirin, etc.

Lactose Intolerant: No dairy, etc.

Gluten free: No wheat, etc.

Name of University (in Japan if applicable) * If not applicable, write "N/A"

Department *

Major *

Degree * Please choose the degree you are CURRENTLY studying for OR the most recent degree you have received.

Undergrad

Masters

Doctorate

Research/Terciary

Language School

What is your EXPECTED GRADUATION DATE that is formally indicated on your STUDENT ID? * NOTE: Your working permit expires on the same day as your listed graduation date. You are NOT eligible to work after your graduation date, unless you renew your visa.

Which best describes your ENGLISH Level? Please answer honestly. *

Native or equivalent

Fluent (business)

Comfortable (casual)

Limited

Which best describes your JAPANESE level? * Knowledge in Japanese is NOT required to become an LbE Global Leader. This question is asked for statistical reasons only.

Native or equivalent

Fluent (business)

Comfortable (casual)

Limited

Do you have any type of proficiency in any other languages? If so, please list the language(s) and your proficiency level. Example: Spanish (native), Mandarin (casual), Bengali (fluent)

Briefly explain your work background (if any)

What is your personal background? Briefly tell us about yourself. *

How did you hear about LbE? *

Referred by someone else (a former/current LbE Global Leader, or someone that knows about LbE)

Facebook

Instagram

Search (Google, Yahoo, etc.)

If you were referred by someone, please write their full name below.

Select the NUMBER ONE reason below that best matches the reason why you would like to join LbE. * This is for statistical data only. Your answer will not influence your registration.

To gain experience (leadership, education, etc.)

To network with other Global Leaders from different countries

Matches my interests, hobbies, or in align with my educational background/experiences

I was recommended to register by another Global Leader and became interested

For additional income

How to read your bankbook to extract information for the following section.

Bank (code and name) * Here are some useful codes: Japan Post: 9900 ゆうちょ銀行 Mitsui Sumitomo: 0009 三井住友銀行 UFJ: 0005 三菱東京UFJ銀行 Mizuho: 0001 みずほ銀行 Joyo: 0130 常陽銀行 Hokkaido: 0116 北海道銀行 Hiroshima: 0169 広島銀行 Momiji: 0569 もみじ銀行 Oita: 0183 大分銀行 Oita Mirai: 1962 大分みらい信用金庫 Fukuoka: 0177 福岡銀行

Branch (code and name)

Account Number * Must match the numbers in your bankbook

Account Holder * Must match how it is written in your bankbook. In most cases, it should be written in Katakana.

Please submit a CLEAR photo of both the INSIDE COVER + FIRST PAGE of your BANKBOOK. *

What type of visa do you CURRENTLY have? *

Student

Dependent

Professor, Instructor, Researcher, Designated Activities

Engineer, Humanities, Int'l Services

High Skilled Professional, Cultural Activities

Long Term Resident, Permanent Resident

Spouse or Child of a Japanese National, Permanent Resident

Japanese National

What is the expiration date of your Residence Card? * If you are a Japanese National, please choose the your birth month, date, but choose 2050 for your birth year.

Get ready to take a picture of the front and back side of your residence card. We need to clearly see a WORKING PERMIT stamp or equivalent (sticker/document in your passport)

Please upload a CLEAR photo of the FRONT side of your RESIDENCE CARD. *

Please upload a CLEAR photo of the BACK side of your RESIDENCE CARD. *

What is your Japanese Residence' Postal Code? * Please type only the numbers; no dashes.

Your Japanese Residence Address * This shall match the address in your residence card (you will need to upload this later)

Do you have "My Number" (Kojinbango - マイナンバ－) * Without "My Number," the system will automatically DEDUCT taxes from your compensation. Please be prepared to bring a COPY of "My Number" with you to your first program. Do you have "My Number" (Kojinbango - マイナンバ－)

Yes

No

Any comments?

Photo Release * During our programs we take pictures to promote what we do.If you don't want your picture published in our open website (outside of the private area) or in our posters and brochures, let us know here. This only applies to the marketing material made by us.

I agree

I disagree

LbE Global Leader Registration Form (Japan)

LbE Global Leader Registration Form (Japan)