PARTICIPANT INFORMATION FORM

Personal Details

* please note that fields mark with a "Reqired" are mandatory and you cannot continue if you have not completed them.

University Name	Aichi University of Education Beijing Normal University Busan National University of Education Central China Normal University Cheongju National University of Education Chiba University Chinju National University　of Education Chonnam National University Chuncheon National University of Education East China Normal University Ehime University Fukuoka University of Education Gongju National University of Education Guangxi Normal University Gunma University Gwangju National University　of Education Gyeongin National University of Education Hiroshima University Hokkaido University of Education Hunan Normal University Jeju National University Jeonju National University of Education Joetu University of Education Kongju National University Korea National University of Education Kyoto University of Education Miyagi University of Education Nanjing Normal University Nara University of Education Naruto University of Education National Taichung University National Taiwan Normal University Northeast Normal University Osaka Kyoiku University Saitama University Seoul National University of Education Shaanxi Normal University Shanghai Normal University Shanxi Normal University Southwest University The Hong Kong Institute of Education Tokyo Gakugei University University of Seoul Yokohama National University
姓名 (Chinese Character／漢字)	姓 　 名
Name (Alphabet)	FamilyName 　 FirstName
Date of Birth	Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31  /  Month January February March April May June July August September October November December  /  Year 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
Title	professor associate professor lecturer render student other ( )
Affiliation
Position
Gender	Male Female
Mail address
Confirm mail address
Banquet / Reception	Yes No, I won’t attend
Biography	English (about 200 words) Example : Dr.TANAKA Yoshimi is Executive Director and Vice President of Tokyo Gakugei University. He was born in Hamamatsu City,Japan in 1950. He earned his PhD in Education from the Graduate School of education, Nagoya University. His major is Technology and Vocational Education. He began his career as Lecturer of the Faculty of Education at Kanazawa University in 1978. In 1986, he became Associate Professor of the Faculty of Education at Tokyo Gakugei University, and worked there as Professor from 1993 to 2009. He published Emergence of University-based Technology Education in the U.S.A.(2010), Vocational Guidance as Education for Non-elite(2009), challenge of Technical High School in Japan(2005), and Emergence of Industrial Arts and Vocational Education in the U.S.A.(1993).

Please submit a digital photo of the participating person to the meeting by Email to Secretariat at icuesymp@u-gakugei.ac.jp on or before September 14, 2012.
* File Type: JPG/ JPEG (not exceed 3 MB)
* File Title: Please give your university and participant name to a title.

Application form to attend the International Workshop

In Group Discussion, participants discuss by small discussion groups.
Language is chosen by each group. Please inform your usable language on entry;
Japanese / Chinese / Korean / English

Application form to attend the Poster session

Application form to attend the President meeting

President Meeting (November 3, 2012(Sat) 15:30-16:30)
Only a president or a substitute can attend this meeting.