これはIU日本同窓会会員として新規にご登録いただくためのフォームです。

いただきました個人情報は会として厳重に管理し、会からの会員の皆様へのご連絡、会員名簿の送付等に活用させて頂きますが、会の活動の目的以外に個人情報を使うことはございません。
よろしくご登録をお願い致します。


This is a form to register as a new member of the IU Alumni Association Japan Chapter. The information you provide will be held in strict control by the IUAA Japan Chapter. We will use the information to contact individual members and to send membership lists and such, but of course we will not use your personal information for any purpose other than the activities of the IUAA Japan Chapter. Thank you for your cooperation in registering.

日本人の方は漢字/ひらがなでご記入ください。
日本人の方は、ローマ字でご記入ください。
現在お住まいのご住所、あるいは会員登録をしてほしいご住所を記入ください。〒からお願いします。 そちらに郵送物が届きます。
確認のため、メールアドレスを2度入力ください。Please input your e-mail address twice, for confirmation.
Phone Number
Your status at IU. (Ex. Undergrad student, Visiting Researcher, Visiting Professor)
Your campus attended or your program. (Ex. Bloomington, Online MBA)
Your Department at IU. [Your major]. (Ex. History (East Asian Studies) , Music (Cello) )
Your degree awarded by IU. (Ex. B.A. MBA M.S. )
The YEAR you joined IU.
The YEAR you finished IU.
Your affiliation and your title.
Additional information that you would like us to know. Or any information that you would like to further explain about you.

*  は入力必須項目とさせていただいています。