{"id":3956,"date":"2023-01-05T10:05:32","date_gmt":"2023-01-05T18:05:32","guid":{"rendered":"https:\/\/seniors.nikkeiplace.org\/?page_id=3956"},"modified":"2025-08-13T10:56:53","modified_gmt":"2025-08-13T17:56:53","slug":"new-sakura-so-application","status":"publish","type":"page","link":"https:\/\/seniors.nikkeiplace.org\/ja\/new-sakura-so-application\/","title":{"rendered":"New Sakura-So Application"},"content":{"rendered":"<div class=\"wp-block-contact-form-7-contact-form-selector\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f3700-o1\" lang=\"en-CA\" dir=\"ltr\" data-wpcf7-id=\"3700\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ja\/wp-json\/wp\/v2\/pages\/3956#wpcf7-f3700-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/ja\/wp-json\/wp\/v2\/pages\/3956#wpcf7-f3700-o1\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"3700\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_CA\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3700-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<style>\n .radio{\n vertical-align:middle;\n white-space: pre;\n }\n<\/style>\n<p><script>\n document.addEventListener( 'wpcf7mailsent', function( event ) {\n location = 'https:\/\/seniors.nikkeiplace.org\/thank-you\/';\n }, false );\n <\/script>\n<\/p>\n<h2>\u7533\u8fbc\u8005\n<\/h2>\n<h6>The following section contains questions about the applicant\n<\/h6>\n<div style=\"display:flex\">\n\t<h6>Note that all fields with this symbol are required:\n\t<\/h6>\n\t<p><label style=\"color:red\">*<\/label>\n\t<\/p>\n<\/div>\n<p><label>\u6c0f<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"text\" name=\"last-name\" style=\"text-transform:none\" \/>\n<\/p>\n<p><label>\u540d<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"text\" name=\"first-name\" style=\"text-transform:none\" \/>\n<\/p>\n<p><label>What is your preferred Honorific:<\/label><label style=\"color:red\">*<\/label><br \/>\n<label class=\"radio\">Mr. <\/label><input type=\"radio\" name=\"honorific\" value=\"Mr.\" class=\"radio\" \/><br \/>\n<label class=\"radio\">Mrs. <\/label><input type=\"radio\" name=\"honorific\" value=\"Mrs.\" class=\"radio\" \/><br \/>\n<label class=\"radio\">Ms. <\/label><input type=\"radio\" name=\"honorific\" value=\"Ms.\" class=\"radio\" \/><br \/>\n<label>Other<\/label><input type=\"text\" name=\"honorific-other\" style=\"text-transform:none\" \/>\n<\/p>\n<p><label>\u56fa\u5b9a\u96fb\u8a71\u756a\u53f7<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"tel\" name=\"home-phone\" \/>\n<\/p>\n<p><label>\u73fe\u4f4f\u6240<\/label><label style=\"color:red\">*<\/label>\n<\/p>\n<table>\n\t<tr>\n\t\t<th>\n\t\t\t<p>House\/Apartment Number\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p>Street\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p>City\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p>Province\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p>Postal Code\n\t\t\t<\/p>\n\t\t<\/th>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"house-num\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"street\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"city\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"province\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"postal-code\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<p><label>\u643a\u5e2f\u96fb\u8a71\u756a\u53f7<\/label><br \/>\n<input type=\"tel\" name=\"work-phone\" \/>\n<\/p>\n<p><label> \u30a4\u30fc\u30e1\u30fc\u30eb<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"email\" name=\"email\" required \/>\n<\/p>\n<p><label> \u751f\u5e74\u6708\u65e5<\/label><label style=\"color:red\">*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-868\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-868\" \/><\/span>\n<\/p>\n<p><label> \u8077\u696d<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"text\" name=\"occupation\" style=\"text-transform:none\" \/>\n<\/p>\n<p><label> \u4f1a\u793e\u540d<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"text\" name=\"employer\" style=\"text-transform:none\" \/>\n<\/p>\n<p><label> Employer Address:<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"text\" name=\"employer-address\" style=\"text-transform:none\" \/>\n<\/p>\n<p><label> Employer Phone Number:<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"text\" name=\"employer-number\" style=\"text-transform:none\" \/>\n<\/p>\n<p><label style=\"font-weight:bold\">\u4e3b\u306a\u4f7f\u7528\u8a00\u8a9e<\/label><label style=\"color:red\">*<\/label> <\/br><br \/>\n<label class=\"radio\">\u82f1\u8a9e <\/label><input type=\"radio\" name=\"language\" value=\"English\" class=\"radio\" \/><br \/>\n<label class=\"radio\"> \u65e5\u672c\u8a9e <\/label><input type=\"radio\" name=\"language\" value=\"Japanese\" class=\"radio\" \/>\n<\/p>\n<p><label> \u305d\u306e\u4ed6 <\/label><br \/>\n<input type=\"text\" name=\"language-other\" style=\"text-transform:none\" \/>\n<\/p>\n<p><label style=\"font-weight:bold\"> \u30ab\u30ca\u30c0\u3067\u306e\u8eab\u5206\u72b6\u6cc1<\/label><label style=\"color:red\">*<\/label><\/br><br \/>\n<label class=\"radio\">\u30ab\u30ca\u30c0\u56fd\u6c11 <\/label><input type=\"radio\" name=\"status\" value=\"Citizen\" class=\"radio\" \/><br \/>\n<label class=\"radio\">\u6c38\u4f4f\u8005 <\/label><input type=\"radio\" name=\"status\" value=\"Permanent Resident\" class=\"radio\" \/><br \/>\n<label class=\"radio\">\u96e3\u6c11 <\/label><input type=\"radio\" name=\"status\" value=\"Refugee Claimant\" class=\"radio\" \/><br \/>\n<label class=\"radio\">\u547c\u5bc4\u305b\u79fb\u4f4f\u8005 <\/label><input type=\"radio\" name=\"status\" value=\"Sponsored Immigrant\" class=\"radio\" \/>\n<\/p>\n<p><label>\u6c38\u4f4f\u6a29\u4fdd\u6301\u8005\u306e\u5834\u5408\u3001\u30ab\u30ca\u30c0\u5165\u56fd\u65e5 <\/label><br \/>\n<input type=\"date\" name=\"residency-date\" \/>\n<\/p>\n<p><label>Name of a Familial\/Close Contact:<\/label><label style=\"color:red\">*<\/label><br \/>\n<input style=\"text-transform:none\" type=\"text\"  name=\"alternate\" \/>\n<\/p>\n<p><label>\u7533\u8fbc\u8005\u3068\u306e\u95a2\u4fc2<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"text\" name=\"alt-relationship\" \/>\n<\/p>\n<p><label>\u96fb\u8a71\u756a\u53f7<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"tel\" name=\"alt-phone\" \/>\n<\/p>\n<p><label>\u30a4\u30fc\u30e1\u30fc\u30eb<\/label><label style=\"color:red\">*<\/label><br \/>\n<input style=\"text-transform:none\" type=\"email\" name=\"alt-email\" \/>\n<\/p>\n<p><label style=\"font-weight:bold\">Please list two people and their phone numbers for references (not family members)<\/label><label style=\"color:red\">*<\/label>\n<\/p>\n<table>\n\t<tr>\n\t\t<th>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p>\u6c0f\u540d\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p>\u96fb\u8a71\u756a\u53f7\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p>\uff72\uff70\uff92\uff70\uff99\n\t\t\t<\/p>\n\t\t<\/th>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p>Reference 1\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"reference-1-name\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"reference-1-number\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"reference-1-email\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th>\n\t\t\t<p>Reference 2\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"reference-2-name\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"reference-2-number\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"referebce-2-email\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<h2>\u5171\u540c\u7533\u8fbc\u8005\n<\/h2>\n<h6>The following section contains questions about the co-applicant\n<\/h6>\n<p><label>\u6c0f<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"text\" name=\"co-last-name\" style=\"text-transform:none\" \/>\n<\/p>\n<p><label>\u540d<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"text\" name=\"co-first-name\" style=\"text-transform:none\" \/>\n<\/p>\n<p><label>What is your preferred Honorific:<\/label><label style=\"color:red\">*<\/label><br \/>\n<label class=\"radio\">Mr. <\/label><input type=\"radio\" name=\"honorific-co\" value=\"Mr.\" class=\"radio\" \/><br \/>\n<label class=\"radio\">Mrs. <\/label><input type=\"radio\" name=\"honorific-co\" value=\"Mrs.\" class=\"radio\" \/><br \/>\n<label class=\"radio\">Ms. <\/label><input type=\"radio\" name=\"honorific-co\" value=\"Ms.\" class=\"radio\" \/><br \/>\n<label>Other<\/label><input type=\"text\" name=\"honorific-co-other\" style=\"text-transform:none\" \/>\n<\/p>\n<p><label>\u56fa\u5b9a\u96fb\u8a71\u756a\u53f7<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"tel\" name=\"home-phone-co\" \/>\n<\/p>\n<p><label>\u73fe\u4f4f\u6240<\/label><label style=\"color:red\">*<\/label>\n<\/p>\n<table>\n\t<tr>\n\t\t<th>\n\t\t\t<p>House\/Apartment Number\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p>Street\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p>City\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p>Province\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p>Postal Code\n\t\t\t<\/p>\n\t\t<\/th>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"house-num-co\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"street-co\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"city-co\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"province-co\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"postal-code-co\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<p><label>\u643a\u5e2f\u96fb\u8a71\u756a\u53f7<\/label><br \/>\n<input type=\"tel\" name=\"work-phone-co\" \/>\n<\/p>\n<p><label>\u30a4\u30fc\u30e1\u30fc\u30eb<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"email\" name=\"co-email\" \/>\n<\/p>\n<p><label> \u751f\u5e74\u6708\u65e5<\/label><label style=\"color:red\">*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-984\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-984\" \/><\/span>\n<\/p>\n<p><label> \u8077\u696d<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"text\" name=\"occupation-co\" style=\"text-transform:none\" \/>\n<\/p>\n<p><label> \u4f1a\u793e\u540d<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"text\" name=\"employer-co\" style=\"text-transform:none\" \/>\n<\/p>\n<p><label> Employer Address:<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"text\" name=\"employer-address-co\" style=\"text-transform:none\" \/>\n<\/p>\n<p><label> Employer Phone Number:<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"text\" name=\"employer-number-co\" style=\"text-transform:none\" \/>\n<\/p>\n<p><label>What is your relationship to the applicant?<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"text\" name=\"relationship\" style=\"text-transform:none\" \/>\n<\/p>\n<h2>Health\n<\/h2>\n<h6>The following section contains questions about the applicant's health\n<\/h6>\n<p><label style=\"font-weight:bold\">\u8eca\u6905\u5b50\u304c\u4f7f\u7528\u53ef\u80fd\u306a\u30a2\u30d1\u30fc\u30c8\u304c\u5fc5\u8981\u3067\u3059\u304b?<\/label><label style=\"color:red\">*<\/label><\/br><br \/>\n<label class=\"radio\">\u306f\u3044 <\/label><input type=\"radio\" class=\"radio\" name=\"wheelchair\" value=\"yes\" \/><br \/>\n<label class=\"radio\">\u3044\u3044\u3048 <\/label><input type=\"radio\" class=\"radio\" name=\"wheelchair\" value=\"no\" \/>\n<\/p>\n<p><label style=\"font-weight:bold\">\u81ea\u5206\u306e\u98df\u4e8b\u306f\u81ea\u5206\u3067\u7528\u610f\u3057\u3066\u3044\u307e\u3059\u304b?<\/label><label style=\"color:red\">*<\/label><\/br><br \/>\n<label class=\"radio\">\u306f\u3044 <\/label><input type=\"radio\" class=\"radio\" name=\"meal-prep\" value=\"yes\" \/><br \/>\n<label class=\"radio\">\u3044\u3044\u3048 <\/label><input type=\"radio\" class=\"radio\" name=\"meal-prep\" value=\"no\" \/>\n<\/p>\n<p><label style=\"font-weight:bold\">\u30db\u30fc\u30e0\u30b5\u30dd\u30fc\u30c8\u30b5\u30fc\u30d3\u30b9\u3092\u53d7\u3051\u3066\u3044\u307e\u3059\u304b?\u3000<\/label><label style=\"color:red\">*<\/label><\/br><br \/>\n<label class=\"radio\">\u306f\u3044 <\/label><input type=\"radio\" class=\"radio\" name=\"home-support\" value=\"yes\" \/><br \/>\n<label class=\"radio\">\u3044\u3044\u3048 <\/label><input type=\"radio\" class=\"radio\" name=\"home-support\" value=\"no\" \/>\n<\/p>\n<p><label>\u53d7\u3051\u3066\u3044\u308b\u5834\u5408\u3001\u9031\u306b\u4f55\u65e5\u305d\u306e\u30b5\u30fc\u30d3\u30b9\u3092\u53d7\u3051\u3066\u3044\u307e\u3059\u304b?<\/label><br \/>\n<input style=\"text-transform:none\" type=\"text\" name=\"home-support-days\" \/>\n<\/p>\n<h2>\u73fe\u5728\u3068\u904e\u53bb\u306e\u4f4f\u5c45\u306b\u3064\u3044\u3066\n<\/h2>\n<h6>The following section contains questions about your current housing situation\n<\/h6>\n<p><label>\u73fe\u5728\u306e\u5bb6\u4e3b\u53c8\u306f\u7ba1\u7406\u4eba\u306e\u540d\u524d<\/label><label style=\"color:red\">*<\/label><br \/>\n<input style=\"text-transform:none\" type=\"text\" name=\"landlord-name\" \/>\n<\/p>\n<p><label>\u73fe\u4f4f\u6240\u306b\u306f\u4f55\u5e74\u4f4f\u3093\u3067\u3044\u307e\u3059\u304b<\/label><label style=\"color:red\">*<\/label><br \/>\n<input style=\"text-transform:none\" type=\"text\" name=\"address-time\" \/>\n<\/p>\n<p><label>\u96fb\u8a71\u756a\u53f7<\/label><label style=\"color:red\">*<\/label><br \/>\n<input style=\"text-transform:none\" type=\"text\" name=\"landlord-number\" \/>\n<\/p>\n<p><label style=\"font-weight:bold\">\u73fe\u5728\u4f4f\u3093\u3067\u3044\u308b\u6240\u304b\u3089\u51fa\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3068\u3044\u3046\u901a\u77e5\u3092\u53d7\u3051\u53d6\u3063\u3066\u3044\u307e\u3059\u304b\uff1f<\/label><label style=\"color:red\">*<\/label><br \/>\n<label class=\"radio\">\u306f\u3044 <\/label><input type=\"radio\" class=\"radio\" name=\"end-tenancy\" value=\"Yes\" \/><br \/>\n<label class=\"radio\">\u3044\u3044\u3048 <\/label><input type=\"radio\" class=\"radio\" name=\"end-tenancy\" value=\"No\" \/>\n<\/p>\n<p><label>If yes, explain why you received the notice, and if no, explain why you want to move<\/label><br \/>\n<input style=\"text-transform:none\" type=\"text\" name=\"notice-reason\" \/>\n<\/p>\n<p><label style=\"font-weight:bold\">\u73fe\u5728\u306e\u4f4f\u5c45\u306f\u5dde\u653f\u5e9c\u306e\u63f4\u52a9\u306e\u3042\u308b\u4f4f\u5b85\u3067\u3059\u304b\uff1f<\/label><label style=\"color:red\">*<\/label><br \/>\n<label class=\"radio\">\u306f\u3044 <\/label><input type=\"radio\" class=\"radio\" name=\"subsidized-housing\" value=\"Yes\" \/><br \/>\n<label class=\"radio\">\u3044\u3044\u3048 <\/label><input type=\"radio\" class=\"radio\" name=\"subsidized-housing\" value=\"No\" \/>\n<\/p>\n<p><label style=\"font-weight:bold\">\u304b\u3064\u3066\u653f\u5e9c\u306e\u63f4\u52a9\u306e\u3042\u308b\u4f4f\u5b85\u306b\u4f4f\u3093\u3060\u3053\u3068\u3042\u308a\u307e\u3059\u304b\uff1f<\/label><label style=\"color:red\">*<\/label><br \/>\n<label class=\"radio\">\u306f\u3044 <\/label><input type=\"radio\" class=\"radio\" name=\"subsidized-housing-ever\" value=\"Yes\" \/><br \/>\n<label class=\"radio\">\u3044\u3044\u3048 <\/label><input type=\"radio\" class=\"radio\" name=\"subsidized-housing-ever\" value=\"No\" \/>\n<\/p>\n<p><label style=\"font-weight:bold\">\u4e0a\u306e\u8cea\u554f\u306b\u300c\u306f\u3044\u300d\u3068\u7b54\u3048\u305f\u65b9\u306f\u4f4f\u5c45\u540d\u53ca\u3073\u4f4f\u6240\u3092\u8a18\u3057\u3066\u304f\u3060\u3055\u3044<\/label><label style=\"color:red\">*<\/label>\n<\/p>\n<table>\n\t<tr>\n\t\t<th>\n\t\t\t<p>House\/Apartment Number\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p>Street\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p>City\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p>Province\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<th>\n\t\t\t<p>Postal Code\n\t\t\t<\/p>\n\t\t<\/th>\n\t<\/tr>\n\t<tr>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"house-num-sub\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"street-sub\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"city-sub\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"province-sub\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p><input style=\"text-transform:none\" type=\"text\" name=\"postal-code-sub\" \/>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<p><label style=\"font-weight:bold\">And what is the name of the property?<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"text\" style=\"text-transform:none\" name=\"subsidized-property-name\" \/>\n<\/p>\n<p><label style=\"font-weight:bold\">\u305d\u3053\u306b\u306f\u4f55\u5e74\u4f4f\u3093\u3067\u3044\u307e\u3057\u305f\u304b\uff1f<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"text\" style=\"text-transform:none\" name=\"subsidized-length\" \/>\n<\/p>\n<p><label style=\"font-weight:bold\">\u73fe\u5728, \u5bb6\u65cf\u30fb\u53cb\u4eba\u3068\u540c\u5c45\u3057\u3066\u3044\u307e\u3059\u304b\uff1f<\/label><label style=\"color:red\">*<\/label><\/br><br \/>\n<label class=\"radio\">\u306f\u3044 <\/label><input type=\"radio\" class=\"radio\" name=\"living-family\" value=\"Yes\" \/><br \/>\n<label class=\"radio\">\u3044\u3044\u3048 <\/label><input type=\"radio\" class=\"radio\" name=\"living-family\" value=\"No\" \/>\n<\/p>\n<p><label>Describe your current housing<\/label><label style=\"color:red\">*<\/label><br \/>\n<input type=\"text\" style=\"text-transform:none\" name=\"current-housing\" \/>\n<\/p>\n<p><label style=\"font-weight:bold\">\u6b21\u306e\u3069\u306e\u72b6\u614b\u306b\u8a72\u5f53\u3057\u307e\u3059\u304b\uff1f<\/label><label style=\"color:red\">*<\/label><br \/>\n<label class=\"radio\">\u501f\u5bb6 <\/label><input type=\"radio\" class=\"radio\" name=\"rent-situation\" value=\"Rent\" \/><br \/>\n<label class=\"radio\">\u7d4c\u8cbb\u3092\u5171\u540c\u8ca0\u62c5\u3000 <\/label><input type=\"radio\" class=\"radio\" name=\"rent-situation\" value=\"Share Expenses\" \/><br \/>\n<label class=\"radio\">\u81ea\u5df1\u6240\u6709 <\/label><input type=\"radio\" class=\"radio\" name=\"rent-situation\" value=\"Own\" \/><br \/>\n<label class=\"radio\">\u5bb6\u8cc3\u306f\u7121\u6599 <\/label><input type=\"radio\" class=\"radio\" name=\"rent-situation\" value=\"Free Accommodation\" \/><br \/>\n<label class=\"radio\">\u653f\u5e9c\u63f4\u52a9\u306e\u3042\u308b\u4f4f\u5b85 <\/label><input type=\"radio\" class=\"radio\" name=\"rent-situation\" value=\"Subsidized Housing\" \/>\n<\/p>\n<p><label style=\"font-weight:bold\">Does your rent include?<\/label><label style=\"color:red\">*<\/label><br \/>\n<label class=\"radio\">Heat: <\/label><label class=\"radio\">\u306f\u3044 <\/label><input class=\"radio\" type=\"radio\" name=\"heat\" value=\"yes\" \/><label class=\"radio\"> \u3044\u3044\u3048 <\/label><input class=\"radio\" type=\"radio\" name=\"heat\" value=\"no\" \/><br \/>\n<label class=\"radio\">Electricity: <\/label><label class=\"radio\">\u306f\u3044 <\/label><input class=\"radio\" type=\"radio\" name=\"electricity\" value=\"yes\" \/><label class=\"radio\"> \u3044\u3044\u3048 <\/label><input class=\"radio\" type=\"radio\" name=\"electricity\" value=\"no\" \/>\n<\/p>\n<p><label>\u73fe\u5728\u306e\u6708\u984d\u306e\u5bb6\u8cc3<\/label><label style=\"color:red\">*<\/label><br \/>\n<input style=\"text-transform:none\" type=\"text\" name=\"monthly-rent\" \/>\n<\/p>\n<p><label>\u6696\u623f\u8cbb\u3068\u5149\u71b1\u8cbb\u306e\u6708\u984d\u5e73\u5747<\/label><label style=\"color:red\">*<\/label><br \/>\n<input style=\"text-transform:none\" type=\"text\" name=\"monthly-hydro\" \/>\n<\/p>\n<p><label>\u5408\u8a08<\/label><label style=\"color:red\">*<\/label><br \/>\n<input style=\"text-transform:none\" type=\"text\" name=\"monthly-total\" \/>\n<\/p>\n<p><label style=\"font-weight:bold\">Do you own a vehicle?<\/label><label style=\"color:red\">*<\/label><br \/>\n<label class=\"radio\">\u306f\u3044 <\/label><input class=\"radio\" type=\"radio\" name=\"automobile\" value=\"yes\" \/><br \/>\n<label class=\"radio\"> \u3044\u3044\u3048 <\/label><input class=\"radio\" type=\"radio\" name=\"automobile\" value=\"no\" \/>\n<\/p>\n<p><label>\u73fe\u5728\u306e\u4f4f\u5c45\u53ca\u3073\u8fd1\u96a3\u306b\u95a2\u3059\u308b\u30b3\u30e1\u30f3\u30c8\u306a\u3069\u304c\u3042\u308c\u3070\u8a18\u5165\u3057\u3066\u4e0b\u3055\u3044<\/label><br \/>\n<input style=\"text-transform:none; width:600px;\" type=\"text\" name=\"comments\" \/>\n<\/p>\n<p><label>\u3042\u306a\u305f\u306e\u8da3\u5473\u3084\u30dc\u30e9\u30f3\u30c6\u30a3\u30a2\u6d3b\u52d5\u306b\u3064\u3044\u3066\u8a18\u5165\u3057\u3066\u304f\u3060\u3055\u3044<\/label><br \/>\n<input style=\"text-transform:none; width:600px;\" type=\"text\" name=\"interests\" \/>\n<\/p>\n<h2>\u73fe\u5728\u306e\u4e16\u5e2f\u53ce\u5165\uff08\u6240\u5f97\uff09\u306b\u3064\u3044\u3066 - \u7533\u8fbc\u8005\n<\/h2>\n<h6>The following section contains questions about your sources of income\n<\/h6>\n<p><label>How much monthly income do you receive from the following sources<\/label><label style=\"color:red\">*<\/label>\n<\/p>\n<p><label>\u96c7\u7528\u306b\u3088\u308b\u53ce\u5165\uff08\u7d66\u4e0e\u6240\u5f97): $<\/label><input style=\"text-transform:none\" type=\"text\" name=\"employment-income\" required \/>\n<\/p>\n<p><label>\u88dc\u8db3\u5e74\u91d1: $<\/label><input style=\"text-transform:none\" type=\"text\" name=\"GIS-income\" \/>\n<\/p>\n<p><label>\u8001\u9f62\u5e74\u91d1: $<\/label><input style=\"text-transform:none\" type=\"text\" name=\"OAS-income\" \/>\n<\/p>\n<p><label>\u6226\u4e89\u969c\u5bb3\u8005\u624b\u5f53: $<\/label><input style=\"text-transform:none\" type=\"text\" name=\"DVA-income\" \/>\n<\/p>\n<p><label>\u30ab\u30ca\u30c0\u5e74\u91d1: $<\/label><input style=\"text-transform:none\" type=\"text\" name=\"CPP-income\" \/>\n<\/p>\n<p><label>\u96c7\u7528\u4fdd\u967a: $<\/label><input style=\"text-transform:none\" type=\"text\" name=\"EI-income\" \/>\n<\/p>\n<p><label>\u969c\u5bb3\u624b\u5f53: $<\/label><input style=\"text-transform:none\" type=\"text\" name=\"Disability-Income\" \/>\n<\/p>\n<p><label>\u305d\u306e\u4ed6\u2015\u5177\u4f53\u7684\u306b:<\/label><input style=\"text-transform:none; width:600px;\" type=\"text\" name=\"other\" \/>\n<\/p>\n<p><label>\u4e00\u30f6\u6708\u306e\u7dcf\u53ce\u5165: $<\/label><input style=\"text-transform:none\" type=\"text\" name=\"total\" \/>\n<\/p>\n<h2>\u73fe\u5728\u306e\u4e16\u5e2f\u53ce\u5165\uff08\u6240\u5f97\uff09\u306b\u3064\u3044\u3066 - \u5171\u540c\u7533\u8fbc\u8005\n<\/h2>\n<h6>The following section contains questions about your Co-Applicant's Source of Income\n<\/h6>\n<p><label>How much monthly income do you receive from the following sources<\/label><label style=\"color:red\">*<\/label>\n<\/p>\n<p><label>\u96c7\u7528\u306b\u3088\u308b\u53ce\u5165\uff08\u7d66\u4e0e\u6240\u5f97): $<\/label><input style=\"text-transform:none\" type=\"text\" name=\"co-employment-income\" \/>\n<\/p>\n<p><label>\u88dc\u8db3\u5e74\u91d1: $<\/label><input style=\"text-transform:none\" type=\"text\" name=\"co-GIS-income\" \/>\n<\/p>\n<p><label>\u8001\u9f62\u5e74\u91d1: $<\/label><input style=\"text-transform:none\" type=\"text\" name=\"co-OAS-income\" \/>\n<\/p>\n<p><label>\u6226\u4e89\u969c\u5bb3\u8005\u624b\u5f53: $<\/label><input style=\"text-transform:none\" type=\"text\" name=\"co-DVA-income\" \/>\n<\/p>\n<p><label>\u30ab\u30ca\u30c0\u5e74\u91d1: $<\/label><input style=\"text-transform:none\" type=\"text\" name=\"co-CPP-income\" \/>\n<\/p>\n<p><label>\u96c7\u7528\u4fdd\u967a: $<\/label><input type=\"text\" name=\"co-EI-income\" style=\"text-transform:none\" \/>\n<\/p>\n<p><label>\u969c\u5bb3\u624b\u5f53: $<\/label><input type=\"text\" name=\"co-Disability-income\" style=\"text-transform:none\" \/>\n<\/p>\n<p><label>\u305d\u306e\u4ed6\u2015\u5177\u4f53\u7684\u306b:<\/label><input type=\"text\" name=\"co-other\" style=\"text-transform:none\" \/>\n<\/p>\n<p><label>\u4e00\u30f6\u6708\u306e\u7dcf\u53ce\u5165: $<\/label><input type=\"text\" name=\"co-total\" style=\"text-transform:none\" \/>\n<\/p>\n<h2>\u8cc7\u7523\u3000\u3000\u3000\n<\/h2>\n<h6>The following section contains questions about your Applicant's Assets\n<\/h6>\n<p><\/br>\n<\/p>\n<p><label>\u7533\u8fbc\u8005\u53ca\u3073\u5171\u540c\u7533\u8fbc\u8005\u304c\u4fdd\u6709\u3059\u308b\u3059\u3079\u3066\u306e\u73fe\u5728\u306b\u304a\u3051\u308b\u8cc7\u7523\u4fa1\u5024\u3092\u8a18\u5165\u3057\u3066\u4e0b\u3055\u3044<\/label><label style=\"color:red\">*<\/label>\n<\/p>\n<p><label>\u682a\u5f0f\/\u50b5\u6a29\/\u5b9a\u671f\u9810\u91d1: $<\/label><input type=\"text\" name=\"stocks\" style=\"text-transform:none\" \/><\/br>\n<\/p>\n<p><label>\u9810\u91d1\u6b8b\u9ad8\/\u73fe\u91d1: $<\/label><input type=\"text\" name=\"bank\" style=\"text-transform:none\" \/><\/br>\n<\/p>\n<p><label>\u6240\u6709\u3057\u3066\u3044\u308b\u4e0d\u52d5\u7523: $<\/label><input type=\"text\" name=\"real-estate\" style=\"text-transform:none\" \/><\/br>\n<\/p>\n<p><label>\u8eca\u3001\u5bb6\u5177\u3001\u5b9d\u77f3\u306a\u3069\u65e5\u5e38\u751f\u6d3b\u306b\u5fc5\u8981\u306a\u8eab\u306e\n\u56de(\u307e\u308f)\u308a\u54c1\u306f\u8a18\u5165\u3057\u306a\u3044\u3067\u4e0b\u3055\u3044\u3002\n\nRRSP\u3084\u5e74\u91d1\u306e\u3088\u3046\u306b\u73fe\u5728\u307e\u305f\u306f\u5c06\u6765\u53ce\u5165\u3068\u306a\u308b\n\u53ef\u80fd\u6027\u304c\u3042\u308b\u8cc7\u7523\u306f\u8a18\u5165\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/label>\n<\/p>\n<p><label>\u305d\u306e\u4ed6\u306e\u8cc7\u7523\uff08\u5177\u4f53\u7684\u306b\uff09<\/label><input type=\"text\" name=\"other-assets\" style=\"text-transform:none; width:600px;\" \/><\/br>\n<\/p>\n<p><label>\u7dcf\u8cc7\u7523\u984d: $<\/label><input type=\"text\" name=\"total-assets\" style=\"text-transform:none\" \/>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit Application\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"ja\"\/><\/form>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"Applicant The following section contains questions about the applicant Note that all fields with this symbol are required: * Family Name:* First Name:* What is your preferred Honorific:* Mr. Mrs. Ms. Other Home Phone Number:* What is your current address:* House\/Apartment Number Street City Province Postal Code Cell Phone Number: Email:* What is your date [...]","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-3956","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>New Sakura-So Application - Nikkei Place Seniors<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/seniors.nikkeiplace.org\/ja\/new-sakura-so-application\/\" \/>\n<meta property=\"og:locale\" content=\"ja_JP\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"New Sakura-So Application - Nikkei Place Seniors\" \/>\n<meta property=\"og:url\" content=\"https:\/\/seniors.nikkeiplace.org\/ja\/new-sakura-so-application\/\" \/>\n<meta property=\"og:site_name\" content=\"Nikkei Place Seniors\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/nikkeiplacefoundation\" \/>\n<meta property=\"article:modified_time\" content=\"2025-08-13T17:56:53+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta 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