Apply for Observership

You are welcome to leave your queries in English here. Your personal information will be protected according to the rules and regulations set by our Center, they will only be used for the purpose of addressing your query. Please fill in the boxes below to send an e-mail message.

Inquiry Form

Which hospital /unit are you interested in visiting?required

Hospital (Tsukiji campus, Tokyo)
Hospital East (Kashiwa campus, Chiba)
Research Institute (Tsukiji campus, Tokyo)
Exploratory Oncology Research and Clinical Trial Center (Kashiwa campus, Chiba)
Institute for Cancer Control (Tsukiji campus, Tokyo)

Which unit are you interested in visiting？required

Which unit are you interested in visiting？required

Which unit are you interested in visiting？required

Which unit are you interested in visiting？required

Which unit are you interested in visiting？required

Your observership visit objectives required (1000-2000 characters)

the more specific the better, i.e. please do not simply state ‘oncology’ ‘latest surgical techniques’. Please fill in English only.

Your years of experience in the field, as permanent staff　　　　　required (1-1000 characters)

the more specific the better, e.g.years of surgical experience in the field, etc.Please fill in English only.

Do you have a referral who recommended NCC to you, such as NCC staff/alumni?required

If 'Yes', What is his/her affiliation and name?required

Preferred start date (Basically, the first day is Monday only) required

/ / (yyyy/mm/dd)

Preferred last date (Fridays recommended) required

/ / (yyyy/mm/dd)

Have you set your stay in Japan to be within 90 days?required

NCC visit start/last dates set on a working date? (japan calendar link)　required

Contact information

Your occupationrequired

If 'other' please specifyrequired

Family namerequired

Given namerequired

Sex (just for changing room arrangements) required

Male
Female

Your e-mailrequired

foo@example.com

Please re-enter to confirm

Your travel passport issued fromrequired

Your current employer/affiliated academic institution　　　required

URL demonstrating your affiliation (e.g. department page on institution website, professional society, published work). When unavailable, a ResearchMap or LinkedIn profile.required (Only ascii characters)

Please attach your latest CV in pdf, up to 1MB (two pages max) required

Would you like to make an observership visit of 4 days or more?required

Yes/No

Reference letter in English: Please attach a copy of the reference letter as a pdf filerequired

Does your reference letter have a signature of the leadership of the affiliated institution, and either on official letterhead, or with an official chop?required

It is imperative that all our visitors verify their immunity to mumps, measles, rubella, and varicella. Do you have certificates of two doses of MMRV vaccinations?required

Is it possible for you to test your immunity with EIA method ?required

Please state why it is not possible to test with EIA method.required

Other

Other inquiries on the observership visit (1-1000 characters)

Our privacy policy

Privacy policy * Japanese only, Please use your browser's translation function to check.required

I can confirm that I have read, accepted and understood the NCC privacy policy.

Your interest in the National Cancer Center of Japan is appreciated, and thank you for your contact. Please hit the 'Confirm' button once only.