Application for Use

Application form for Long term rental space

(Research Room, Shared Research Room)

  • * denotes required entries. The form cannot be sent without completing these parts.
  • Please contact to the reception when you should make changes to the reservation.
  • The simple profile of the user of long term rental space will be published on the website of the Rikuzentakata Global Campus ( on the “Schedule” page) during the period of use.
Applicant Name*
Applicant's Organization Name*
Applicant's Position in above Organization
Contact information: E-mail address*
Contact information: Phone number*
Supporting Member Information*What is a Supporting Member?

Car Parking*
Summary of Research and/or Activity Plans*
Additional Requests

Reception (Office)

Rikuzentakata Global Campus Reception
Phone: +81-192-47-3901
Fax: +81-192-53-1901
Address: 13-10, Aza Kanda, Yonesaki-cho, Rikuzentakata, Iwate
Hours for reservations and inquiries:  9:00 – 17:00(Only on days when the superintendent is present