Name *

First Name

Last Name

Graduation Year *

2025

2026

2027

2028

2029

2030

2031

Are you a board member at your university's Japan-related organization? *

Yes

No

Japanese Proficiency Level *

5: Native

4: Full Professional Proficiency

3: Professioanl Proficiency

2: Limited Working Proficiency

1: Elementary Proficiency

0: No Proficiency

Will you be booking lodging through MJSA? *

MJSA will be arranging four-person rooms at Fairfield for two nights (10/3 and 10/4) until 9/20 (end of early registration). Please check the 2025 Conference page for prices. If you do NOT have a complete group of 4 and would like us to arrange roommates for you, please book your room through our website and pay the hotel fee of $40 per night pre-tax. Please fill out the roommate request during checkout. You may request up to two preferred roommates during the booking process. We will match you with up to three other participants based on availability. If you do not have a preferred roommate, you will be randomly assigned to a room with participants of the same gender indicated on your booking form. Your reservation is only confirmed once payment is completed. Please select “Yes” to this question and add the hotel fee to your cart during payment. If you already have a complete group of 4 and wish to room together, follow this link and complete your reservation: https://www.marriott.com/event-reservations/reservation-link.mi?guestreslink2=true&id=1756729832838&key=GRP If you have any questions, call Fairfield by Marriott Inn & Suites Bloomington at 1-812-331-1122. Mention the MJSA room block and arrange payment directly with the hotel. In this case, you do not need to pay the hotel fee through our website or the roommate request, and please select “No” to this question and skip adding the hotel fee to your cart during payment.

Yes

No