Application Please enable JavaScript in your browser to complete this form.Email *Promotional or Invitation CodePersonal and Contact InformationName *FirstLastShown in your national identification documentSex *MaleFemaleDate of Birth *Age *Country of Birth *Country of Citizenship *Country of Residence *Primary Phone *MovilHomeWorkCountry Code *Phone Number *LinkedInWrite the URL of your profileDo you have a disability? *YesNoMirai Innovation does not discriminate against people with physical or learning disabilities. We strive to provide all participants with the required resources so they are able to excel in the programs.In case you have a disability, describe it.How did you learn about Mirai Innovation Research Internship Program - MIRI?Academic BackgroundProvide the link of your CV *Upload your CV in English to your preferred cloud service such as Dropbox or Drive and copy/paste the link. Please make sure the PDF file has public access permission. Not LinkendInName of school or institution you belong to *Name of institution and location (city/country)What is your main academic major? *Academic degree achieved until now *Hight school Bachelor degreeMaster degreePhD Postdoctoral researcher Other studies with certification or official recognition such as summer courses, seminars, workshops or diplomatIn case you are a student, specify which semester are you currently enrolled in?Write a list of your participation in challenges, contests and volunteerism if anyWrite a list of your principal awards and distinctions if anyIf you have a web site where we can appreciate your work, for example, github or other, write the URL here.Have you ever published or written any paper research or another text? *YesNoWrite your list of publications if anyLanguageWhat is your native language?Write other languages that you speak, if anyDo you have any English certification? *Yes No If you have a certification write the name of the certification and your scoreProfessional BackgroundAre you currently employed? *NoEmployed Full TimeEmployed Part-Time Employed at weekendsI am a student Describe your recent relevant work experienceWhat is your professional goal?What emergent technology do you prefer? *Artificial Intelligence RoboticsAugmented RealityNeurotechnology NanotechnologyBioprintingVirtual RealityCybersecurityAerospaceBig DataInternet of Things OtherIf Other, specify here *Program Fee - MIRIAfter submitting your application, we will perform an initial screening. If you qualify to participate in the MIRI program you will be required to make the payment of a registration fee of $420 USD (non-refundable) plus the amount of tuition. Tuition: $500 USD per week (From 4 to 8 weeks) $450 USD per week (From 9 to 12 weeks) Plus Taxes (10%). The tuition should be paid in advance before arriving in Japan. The registration fee and/or tuition may be waived or discounted for partner university students. Please check with the counsellor of the international office of your university to see if your university is a partner of Mirai Innovation Research Institute.Do you agree with the program fee rules and the next steps of your payment explained in the previous text? *I agree Who will pay for the program fee and travel expenses in Japan? *My parentsI will pay using my own financial resourcesOther institution My universityA fundraising campaignI will try to find a scholarshipOther If your answer is 'other', specify here.MIRI ProgramThe program duration is from 4 to 12 weeks. How many weeks would you like to participate with us in Japan? *4 weeks5weeks6 weeks7 weeks8 weeks9 weeks10weeks11 weeks12weeksWhen would you like to come to Japan? *January 2024February 2024March 2024April 2024May 2024June 2024July 2024August 2024September2024October2024November2024December 2024When is your estimated arrival date?Would you like to write one paper research during your participation in the MIRI program? *Yes No Do you have a pre-defined research topic? *YesNoI would like to define my research topic with Mira Innovation research staff If you have a pre-defined research topic, write the title here.Application Consent MIRIIf selected as a Mirai Innovation Research Internship Program - MIRI Fellow, I agree to comply with all program terms and conditions and abide and Japan laws, including pertaining to my passport status. I have carefully read and agree to honour the details of this program and also acknowledge my responsibility to strictly follow the rules and regulations of my host organization in Japan. I understand that my participation in the Mirai Innovation Research Internship Program - MIRI depends upon authorization of Mirai Innovation Japan, and in case I do not comply with the rules and ethical conduct expected, my participation can be cancelled. I understand that I am not authorized to seek or carry out any other training or employment in Japan during the period covered by the Mirai Innovation Research Internship Program - MIRI. I understand that any misrepresentation will disqualify my candidacy. I certify that all of the statements in this form are correct and that I understand the qualifications and requirements of this program. I am aware that any violation of program conditions may cause Mirai Innovation Research Institute to withdraw my participation, resulting in a loss to complete my participation in the program, and that I will not be entitled to any reimbursement of costs. By typing my name below, I confirm that, to the best of my knowledge, all information contained in this application is true. I agree that if selected as a Mirai Innovation Research Internship Program - MIRI Fellow, I will actively participate in all program activities including the pre-departure orientation, opening conference and closing summit, Japan-based fellowship, Mirai Innovation Research Internship Program - MIRI surveys, Alumni activities, and continued communication with all program members, including but not limited to partners, and Mirai Innovation Research Institute.I confirm that all of my responses are complete, true, correct, and accurate. I certify that all responses are my own thoughts, ideas, and words and do not contain plagiarism. *I confirmFull name as signature *Fields with (*) are compulsory.SubmitSave and Resume Later Your form entry has been saved and a unique link has been created which you can access to resume this form. Enter your email address to receive the link via email. Alternatively, you can copy and save the link below. Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted. Copy Link Email * Send Link