Rikai Scholarship Basic Info Form

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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Do you agree to attend an online interview with the JASC Scholarship Committee? *

Yes

No

Do you understand that if you are awarded funds, you are required to provide a Final Report about your experience (preferable in video format) to JASC upon completion of your program? *

Yes

No

Please confirm that you will submit each of the following required items by the due date: *

Short answer essays

Recommendation

Proof of acceptance

Budget of expenses

Scheduling of interview