Consultation form for people who have used Sekai Bivouac

If you have previously received a Sekai Bivouac emergency support package, you can use the form below to request a follow-up consultation.

Please note that our staff respond in Japanese. If you need support in another language, please write that in the consultation field and we will do our best to arrange it.

Consultation form

Please leave this field empty

Your nameRequired

Email addressRequired

Phone number

Date you received the emergency packRequired

Where you received the emergency packRequired

Your date of birthRequired

Have you received public support before? (choose one)

Public assistance (seikatsu hogo) A loan from the Council of Social Welfare Tokyo Challenge Net Something else

Do you have work lined up?

Yes No

Which is closest to what you need? (choose one)Required

I would like someone to come with me to apply for public assistance I need somewhere to stay and food until I start work I would like to talk things through first

Tell us about your situationRequired

There is no confirmation screen. Please check what you have written before pressing send.
We will email an acknowledgement to the address you enter. It will not contain what you wrote.
What you send is forwarded to us by email and is not stored on the server (privacy policy).

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