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Application form Premium membership application form: Step 1 Enter Required Information Step 2 Confirmation Step 3 Completion * Fields marked with a * are required. Make a donation Thank you for your decision. Please enter required information to proceed. Membership Please choose your plan. Annual donation will be renewed every March unless requested by the member. Donate to* Please select Support Tohoku University: General Fund Support specific project Support the department Tomoni Program Support the university's greatest needs Other Designations* Please select Tohoku University Tohoku University（115th Aniversary） New undergraduate students New graduate students at Graduate School/ institutions Ukraine Humanitarian Support Fund The 100th Anniversary Fundraising, Department of Metallurgy, School of Engineering Alumni Assosiation Support Fund The Student Friendship Association Support Fund Study Support Fund Doctoral Course Support Fund International Joint Graduate Programs(GP-Spin) International Joint Graduate Programs(GP-EES) International Joint Graduate Programs(GP-DS) International Joint Graduate Programs(GP-PU) International Joint Graduate Programs(GP-Neuro) International Joint Graduate Programs(GP-Mech) International Joint Graduate Programs(GP-MS) International Joint Graduate Programs(GP-RSS) International Joint Graduate Programs(GP-JS) Academia-Industry Collaborating Graduate Programs(Future Medicine and Health Care) Academia-Industry Collaborating Graduate Programs(AI Electronics) Academia-Industry Collaborating Graduate Programs(Sustainability in the Dynamic Earth) International Joint Graduate Programs(GP-Chem) Academia-Industry Collaborating Graduate Programs(Green and Digital Innovation) Postdoctoral Researcher Support Fund Research Grant for Disaster Mitigation Education(BOSAI) Research Grant for Disaster Mitigation Education(YUI) Friends of the TFC: Supporting the Tohoku Forum for Creativity Gender Equality Promotion Post-Earthquake Reconstruction Support Aobayama New Campus Plan Research Fund for Reconstruction from Nuclear Disaster Hatai Medal Fund Ouchi International Exchange Support Fund Startup Business Support Fund All Nippon eDNA Monitoring Network Green Goals Initiative Fund Micro-Satellite R&D Fund Graduate School of Arts and Letters Support Fund Graduate School of Education and Faculty of Education Support Fund School of Law Support Fund Graduate School of Economics and Management Support Fund Graduate School of Science and Faculty of Science Support Fund School of Medicine Support Fund Graduate School of Pharmaceutical Sciences & Faculty of Pharmaceutical Sciences Support Fund School of Engineering Support Fund Graduate School of Agricultural Science Support Fund Graduate School of International Cultural Studies Support Fund GSIS Support Fund Graduate School of Life Sciences Support Fund Graduate School of Environmental Studies Support Fund Graduate School of Biomedical Engineering Support Fund IMR Support Fund IDAC Support Fund IFS Support Fund RIEC Support Fund IMRAM Support Fund IRIDes Support Fund Botanical Gardens Support Fund NICHe Support Fund Tohoku Medical Megabank Organization Support Fund Tohoku University Library Support Fund Tohoku University Hospital Support Fund The Tohoku University Museum Support Fund 2023_No.09_Development of an RPG smartphone game for the 12 municipalities in Fukushima that suffered from nuclear power plant damage during the Great East Japan Earthquake. Donate to(other) detail※ Please select 2023 Spring 2023 Autumn Donation Type and Amount* Select one of the donation methods below and select the donation amount from the pull-down menu. One-Time Donation Please select 1,000yen 3,000yen 5,000yen 10,000yen 30,000yen 50,000yen 100,000yen Other (JPY) Recurring Donation (Monthly) Please select 1,000yen 3,000yen 5,000yen 10,000yen 30,000yen 50,000yen 100,000yen Other (JPY) Biannual Donation Please select 1,000yen 3,000yen 5,000yen 10,000yen 30,000yen 50,000yen 100,000yen Other (JPY) Annual Donation Please select 1,000yen 3,000yen 5,000yen 10,000yen 30,000yen 50,000yen 100,000yen Other (JPY) Year会費会員(毎Year) Please select 1,000yen 3,000yen 5,000yen 10,000yen 30,000yen 50,000yen 100,000yen Other 円 返礼品* コーヒー お茶 しおり 不要 Survey What made you to make donation? Tohoku University website Tohoku University Fund website Tohoku University Alumni Assosiation website Direct letters / handouts by Shuyukai Tohoku University E-newsletter Publication by the public relations office Events organized by Tohoku University Alumni Association (department / personal) Recommendation from family member Recommendation from friends Recommendation from university staff Notice from the university Social media Others Reason： Please feel free to write a comment up to 140 characters. Input character number：characters First-time donars Account holders Personal Information Please enter your information to register as the premium membership. Questions marked as * are required to ans Our privacy policy 申込者区分 Name:*     法人First name*     法人First nameフリガナ*     代表者Position*     代表者漢字Name*     代表者First nameフリガナ*     担当者部署*     担当者漢字Name*     担当者フリガナ*     Gender: Male   Female   Prefer not to say   Date of the Birth* Year 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024  / Month 01 02 03 04 05 06 07 08 09 10 11 12  / Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Mailing address:* Address City / State, ZIP code, Country City/ State/ ZIP/ Country 任意 --> Phone: * Phone: Fax: Email:* Email (Confirmation):* Relationship* Alumni Family of alumni Faculty or Staff (former / current) Exchange Student other --> --> --> --> *Alumni includes the following: Graduates, Master’s/ Ph.D. Students, Current students. *Multiple choices can be made -----------------------------------------------------------【Alumni】 Graduate and  Undergraduate Information School　　　： Please select Tohoku University Department　　　： Please select Faculty of Arts and Letters Faculty of Education School of Law Faculty of Economics Faculty of Sciences School of Medicine School of Medicine(Health Sciences) School of Dentistry Faculty of Pharmaceutical Sciences School of Engineering Faculty of Agriculture Other Major　： Year of Enrollment　　： Please select 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 Year of graduation (Graduate only)： Please select 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 Graduate school and  Master's student School　　　　： Please select Tohoku University Research Field　　　： Please select Graduate School of Arts and Letters Graduate School of Education Graduate School of Law Graduate School of Economics Graduate School of Science Graduate School of Medicine Graduate School of Medicine(Health Sciences) Graduate School of Dentistry Graduate School of Pharmaceutical Sciences Graduate School of Engineering Graduate School of Agricultural Science Graduate School of International Cultural Studies Graduate School of Information Sciences Graduate School of Life Sciences Graduate School of Environmental Studies Graduate School of Biomedical Engineering Graduate School of Educational Informatics Education Division Graduate School of Educational Informatics Research Division Other Major　　： Year of Enrollment　　　： Please select 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 Year of graduation (Graduate only)： Please select 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 Graduate school and  Ph.D. student School　　　　： Please select Tohoku University Research Field　　　： Please select Graduate School of Arts and Letters Graduate School of Education Graduate School of Law Graduate School of Economics Graduate School of Science Graduate School of Medicine Graduate School of Medicine(Health Sciences) Graduate School of Dentistry Graduate School of Pharmaceutical Sciences Graduate School of Engineering Graduate School of Agricultural Science Graduate School of International Cultural Studies Graduate School of Information Sciences Graduate School of Life Sciences Graduate School of Environmental Studies Graduate School of Biomedical Engineering Graduate School of Educational Informatics Education Division Graduate School of Educational Informatics Research Division Other Major　　： Year of Enrollment　　　： Please select 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 Year of graduation (Graduate only)： Please select 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 -----------------------------------------------------------【Family of alumni】 Name of the Alumni/Student：     Birthdate of the Alumni/Student： Year 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024  / Month 01 02 03 04 05 06 07 08 09 10 11 12  / Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Research Field/Major of the Alumni/Student： Please select Faculty of Arts and Letters Faculty of Education School of Law Faculty of Economics Faculty of Sciences School of Medicine School of Medicine(Health Sciences) School of Dentistry Faculty of Pharmaceutical Sciences School of Engineering Faculty of Agriculture Graduate School of Arts and Letters Graduate School of Education Graduate School of Law Graduate School of Economics Graduate School of Science Graduate School of Medicine Graduate School of Medicine(Health Sciences) Graduate School of Dentistry Graduate School of Pharmaceutical Sciences Graduate School of Engineering Graduate School of Agricultural Science Graduate School of International Cultural Studies Graduate School of Information Sciences Graduate School of Life Sciences Graduate School of Environmental Studies Graduate School of Biomedical Engineering Graduate School of Educational Informatics Education Division Graduate School of Educational Informatics Research Division Other Year of Enrollment of the Alumni/Student： Please select 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 Year of Graduation of the Alumni： Please select 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 -----------------------------------------------------------【Faculty or Staff (former / current)】 Department： Position： Please select Professor Associate Professor Senior Assistant Professor Assistant Professor Research Associate Honorary Professor Honorary Staff Other Current/Former： Please select Current Faculty/Staff Former Faculty/Staff -----------------------------------------------------------【Exchange Student】 School / Research Field： Please select Faculty of Arts and Letters Faculty of Education School of Law Faculty of Economics Faculty of Sciences School of Medicine School of Medicine(Health Sciences) School of Dentistry Faculty of Pharmaceutical Sciences School of Engineering Faculty of Agriculture Graduate School of Arts and Letters Graduate School of Education Graduate School of Law Graduate School of Economics Graduate School of Science Graduate School of Medicine Graduate School of Medicine(Health Sciences) Graduate School of Dentistry Graduate School of Pharmaceutical Sciences Graduate School of Engineering Graduate School of Agricultural Science Graduate School of International Cultural Studies Graduate School of Information Sciences Graduate School of Life Sciences Graduate School of Environmental Studies Graduate School of Biomedical Engineering Graduate School of Educational Informatics Education Division Graduate School of Educational Informatics Research Division Other Program　　： -----------------------------------------------------------【other】 other　　　： Tohoku University ID What is Tohoku University ID？ *Please enter your ID (2 letters + 8-digit numbers) Current position: Company: Title: Year you join the company: Year 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024   Year you left the company: Year 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024   JapaneseE-newsletter* Do you want to receive a monthly E-newsletter? Sample--> Yes  No  EnglishE-newsletter* Do you want to receive a monthly E-newsletter? Sample--> Yes  No  If you have Shuyukai / Fund account, please log in. Once log in, your personal data will be shown. If you have Shuyukai / Fund account, please log in. Once log in, your personal data will be shown. Create a Fund / Shuyukai account Forgot password? Your ID: Password: Create a Shuyukai account Forgot password? Login Nameplate* May we post your name on the Lifetime Premium Members' nameplate? *Lifetime premium members only Yes  No  Source How did you find Tohoku University Alumni Association (Shuyukai)? Please select Tohoku University website Tohoku University Fund website Tohoku University Alumni Assosiation website Direct letters / handouts by Shuyukai Tohoku University E-newsletter Publication by the public relations office Events organized by Tohoku University Alumni Association (department / personal) Recommendation from family member Recommendation from friends Recommendation from university staff Notice from the university Social media Others Reason： Please feel free to write a comment of up to 140 characters. Word counter: characters Motivation What make you decide to be the premium member? Please select I want to support Tohoku University Because I am an alumnus or an alumna of Tohoku University. I am interested in various services offered to the premium members. Others Reason： Please let us know why you are interested in the premium membership.(140 characters) Word counter: characters List of donor's name* Yes  No  Message Please send us any message. If you have any questions, please write it here. (1000 characters) If you would like to apply for the Alumni Graduation Campaign, please enter the following information in the Message box. Nationality User Name which you would like to use at the Tohoku University Alumni Network If you are/were a Research Student or Exchange Student at Tohoku University, please enter the following information in the Message box. (Please select “Other” in the “Relationship” box above.) Classification: Research Student / Exchange Student Year of Enrollment, and Year of Graduation / Completion (estimated): Currently Enrolled: Yes/Not Your Faculty / Graduate School / Department, etc.: 　新規お申込の方は、ご加入のきっかけをご記入いただけましたら幸いです Word counter: characters Payment – via credit card Credit card payment 前回のカードを使用する ● Credit Card number : ● 有効期限    : 新しいカードを使用する Payment can be made with credit cards displayed below: --> Retype card information. 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