Entry Form for JENESYS 2.

0
Japanese Language ( Batch)

APPLICANTS PERSONAL DATA *Please fill in the form in BLOCK LETTERS
Full Name (As exactly given in your passport)
Given Name Family Name Middle Name


Nickname (Please specify Day Month Year
the name you want to be called)
Date of Birth

Nationality Age Sex

Religion Mother Tongue Marital Status


PASSPORT DETAILS

Passport number Place of Issue Date of Issue
(Day) (Month) (Year)


Type of Passport Private Diplomat Official Date of Expiry

FAMILY BACKGROUND

Name Age Profession/Occupation
Father
Mother
Brother/s:
Sister/s:

Monthly Family Income:
CURRENT ADDRESS
Address

Telephone Number Mobile Number
Fax E-mail
CONTACT PERSON IN CASE OF EMERGENCY
*it must be your parent or relative *if you live with him/her, please leave the address blank
Name Relationship
Address
Tel. Fax E-Mail




Photo
(taken within 3
months)
Please write your
name on the back
of your photo
**Passport: If you have a valid passport, please fill in the passport selection. If you dont have a passport, please leave the selection blank

Name


APPLICANTS HEALTH CONDITION
Blood Type A B O AB Pregnancy: Yes No

Medicine: Not taking any medicines Taking medicines regularly (Specify )
Food Allergies (only for physical reasons) Previously diagnosed disease (if any):

Food Restriction
(for religious and custom reasons)

Other allergies and restrictions:

ACADEMIC DETAILS

Name of School Region
School Address
Grade (for student) Title (for supervisor only):
English Language Proficiency Japanese Language Proficiency
Speaking: Good Fair Poor Speaking: Good Fair Poor
Language Proficiency Writing: Good Fair Poor Writing: Good Fair Poor
Reading: Good Fair Poor Reading: Good Fair Poor
Other Language Japanese learning experience
Significant Academic Achievements
Name / Title Date / Year Given Given by:




Significant Leadership Involvements / Achievements
Name / Title / Position Date Given / Period of Involvement Name of Organization



Hobbies and Interest:

OTHER INFORMATION
Have you ever been to Japan before? Yes No If Yes, When?
If Yes, what was the purpose of the visit and where did you visit?

*in principle, any candidates who have participated in JENESYS 2.0 before are not allowed to take part again











ESSAY AND CHARACTER REFERENCE

Expectations:


ESSAYS: For the applicant, please select only two (2) question out of the following essays given below
and answer each question in not more than 300 words. Insert your essays after this page

1. Why do you want to join the JENESYS 2.0 programme?

2. How do you see yourself in the JENESYS 2.0 programme?

3. What do you know about the Japanese culture and what do you like about it?

4. If ever that youll be chosen as one of the delegates, what can you contribute?

Supporting Character Reference
We hereby certify that we have personally known ____________________ to the best of our knowledge; he/she is
of excellent moral character without any record of unfavourable disciplinary case in school










Declaration
I hereby certify that the statements made by me in this form are true and correct to the best of my knowledge.
Signature: _________________________ Date: _____/_____/_____ (Day/Month/Year)

Agreement of the Application Guidelines for JENESYS 2.0
I hereby agree to all the qualifications written in the Application Guidelines for JENESYS 2.0
Signature: _________________________ Date: _____/_____/_____ (Day/Month/Year)












Name:
Position/Designation:
Address:
Contact Number:
Signature:

Name:
Position/Designation:
Address:
Contact Number:
Signature:



The Roles of the Supervisors for JENESYS 2.0
In accordance with participation in JENESYS 2.0, close cooperation among supervisors and JICE staff is expected and highly
appreciated for smooth and safe operation of the programme, in order to promote mutual understanding and exchange between
the participants and the youth of both Japan and other countries.

Terms and condition for supervisors *1-2 supervisors per group consisting of 25-30 students

The supervisor must be a Bona Fide employee of DepEd and is responsible to protect and guide the
students, and must accompany and be accountable in any situation where students get sick, injured
or any other instance where assistance is necessary.

The supervisor must accompany the students throughout the whole duration of the programme.
(This programme does not include any free time).
Cash will not be provided, same meals, transportation, and hotels as students will be provided.
Twin rooms will be arranged for supervisors in general. (Room will be shared if the supervisors are of
the same sex.)
If homestay is part of the programme, supervisors will homestay as well. However, if any trouble
occurs with the students during the homestay, the supervisor must put a halt onto his/her own
homestay and ten to the matter

*A cellphone will be lent to one supervisor during the stay.


1. Supervision during the visitation to Japan and the return from Japan
Supervisors shall responsively lead the participants to travel to, throughout and from Japan. (Neither JICE staff or travel agent
will accompany the travel.) Check the health condition of participants, especially before travelling to Japan. If anyone has a
fever or feels sick, the supervisor is responsible for the decision as to whether he/she can travel to Japan. If any trouble occurs,
handle it in an appropriate manner.
(1) the day of arrival in Japan 1. Gather all the participants and roll call
2. Distribute the passport, tickets,
embarkation/disembarkation cards, etc. to the
participants.
3. Have a pre-travel health check of participants
Make participants fill in the medical sheet and
check what they have written. (Give medical
sheets to the JICE staff upon arrival in Japan.)
Check participants body temperatures
If anyone has a health problem, make decision
as to whether he/she can travel to Japan.
4. Help participants with their departure
formalities, find the boarding gate and confirm
the number of participants.
5. Assists with the transit procedures at transit
site, confirm the boarding gate
6. Assist with Japan immigration procedures

(2) The day of departure from Japan 1. Check the return route of each participant
2. Assist with embarkation procedure, confirm
the boarding gate
3. Assist with transit procedures at transit site,
confirm the boarding gate
4. Assist with immigration procedures of
applicable country
5. See of participants
*Any participant with health hindering aspects such as pregnancy, pre-existing medical conditions (including chronic diseases),
temperature over 38.0C, or any other health conditions is not allowed to travel.
If you are unable to make decision, or more than 10% of the group is deemed unfit for travel, contact JICE through the travel
agency


2. During the stay in Japan
During the stay, seperate the duties with JICE staff including the coordinator as shown below and cooperate together in order to manage the
duties smoothly. Mainly the supervisor must check the general status of the participant and report/discuss with status with the JICE coordinator.

Supervisors JICE Programme
Coordinators
JICE Staff
(1) Orientation (1) Give explanations on safety management to the participants (*1)
(2) Distribute SOS (*2) card
(1) Rollcall before leaving all
sites
(2) Check for items left
behind
(3) Make sure everybody is
aware of the meeting
time
(4) Reminder of the rules
and bans
(5) Arrangement of speech
by group representative
for
visitation/observation
(6) Supervise participants
health
(7) Aid Participants with
questions about religion
and cultural habits
(8) Assists during coverage
by media
(1) Oversight of the
schedule
(2) Explanation of
the visitation,
observation,
summary, and
the aim of the
programme
(3) Guidance
(4) Translation
(5) Addition of extra
information
pertaining to the
subject at that
time
(6) Aid in
encouragement
of participants
further
awareness
(7) Provide advise for
living in Japan
during the stay
(8) Check up call
during the
homestay (*3)
(9) Checkup visit
during the
homestay
(1) Programme planning
(2) Arrangement
between the
visitation and
observation sites
(3) Communication
between the travel
agency and the
coordinator

(4) Hotel Preliminary Check of the emergency routes of hotels and the venues
(1) Check and record
participants body
temperature
every morning
(2) Relay the rules of
going out; give
permission
(3) Make sure that
the participant
that went out is
back
(1) Explanation of
rules during the
hotel stay
(2) Reminder of the
meeting time and
the schedule

(*1) Safety management lecture given at the orientation
Regarding prevention of transmitting sickness (taking body temperature in the morning, washing hands and throat, usage of masks and hand sanitizers,
not sharing food and drinks.)
Procedures for going to the hospital
Constant reminders regarding situations such as robbery, lost items, incidents and accidents
Procedures if a natural disaster (especially an earthquake) occur
Check for allergies, the cause of allergic reactions, necessary procedures to take if the student gets sick, and the name of the medication the participant
takes regularly
(*2) includes the coordinators emergency phone number
(*3) A cell phone will be provided by JICE during the homestay (one cell phone per family)
(*4) Check where they are going and make sure they know that they must return by 10:00PM. The participant must be together with one or more people.

2. Emergency Protocol
In case of an emergency, the supervisors and JICE coordinators make an initial response by closely communicating with each other, and consulting with the JICE
headquarters.
If a participant becomes ill, one supervisor must accompany the sick participant with the coordinator to the hospital
JICE staff will follow with more details after arrival to Japan