International Student Application

International Student Program

Download Student Application

Student Information

Student First Name *

Student Middle Name

Student Last Name *

Grade Applying For *

Address *

City *

Prefecture *

Country *

Zip *

Phone Number *

Date of Birth *

Month

Day

Year

Age *

Gender *

Birthplace *

Student Email *

Father's Information

Father's First Name *

Father's Middle Name

Father's Last Name *

Occupation

Employer

Father's Phone Number

Father's Email

Mother's Information

Mother's First Name *

Mother's Middle Name

Mother's Last Name *

Occupation

Employer

Mother's Phone Number

Mother's Email

Family Information

Family Status *

If the child is not living with both parents, please explain with whom he lives

Please Explain

School Information

Has your child ever been expelled? *

Has your child ever been retained? *

Yes

Which grade?

School attended last year *

School Email

School Address

City

Prefecture

Country

Zip

School Phone Number

Academic Information

Grade Results *

If your child has any discipline or emotional problems, please explain *

If your child has any disabilities or academic problems, please explain *

International Student Application