*
Required
Please complete a separate form for each applicant.
Contact Details
Contact email address
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required
Contact phone number
*
required
Applicant (Student) Details
Applicant's family name
*
required
Applicant's given name
*
required
Applicant's middle name(s)
Name in Katakana (if available)
Last name, first name
Applicant's gender
*
required
Please Select…
Male
Female
Other
Date of birth
*
required
(dd/mm/yyyy)
Applicant's nationality
*
required
2nd nationality
Nationality of Parent 1
*
required
Please indicate the nationality of one of the applicant's parents
Nationality of Parent 2
*
required
Please indicate the nationality of the candidate's other parent. (If the candidate is from a single-parent household, please write 'None'.)
Current and Previous Schools
Name of current school
*
required
Country of current school
*
required
Current grade level
*
required
Date started at current school (mm/yy)
*
required
School year at current school
*
required
Please Select…
August/September to June/July
March/April to February/March
January to December
Name of previous school (prior to current school)
*
required
Please write None if the student's current school is his/her first school
Country of previous school
*
required
Please write None if the student's current school is his/her first school
Grade levels attended at previous school (from - to)
Dates attended at previous school
from (MM/YY)
to (MM/YY)
Name of previous school (#2)
*
required
Please write None if the student's current school is his/her first school
Country of previous school (#2)
*
required
Please write None if the student's current school is his/her first school
Grade levels attended at previous school #2 (from - to)
Dates attended at previous school #2
from (MM/YY)
to (MM/YY)
Language Proficiency
Primary language spoken at home
*
required
Secondary language spoken at home
Applicant's English level for reading
*
required
Please Select…
Native
Advanced
Intermediate
Beginner
Applicant's English level for writing
*
required
Please Select…
Native
Advanced
Intermediate
Beginner
Applicant's English level for listening
*
required
Please Select…
Native
Advanced
Intermediate
Beginner
Applicant's English level for speaking
*
required
Please Select…
Native
Advanced
Intermediate
Beginner
Has the applicant ever been promoted or held back in his/her school career?*
Yes
No
Has the applicant been in any programs or received support for any of the following?*
ESOL (English for Speakers of other languages)
Gifted & talented individual/Family counseling
ADHD/IEP (Individual Educational Plan)
Behavior management
Learning resources
Remedial reading/writing
Speech/language
Other (please provide details in next field)
None
Other (details) or additional information about support options
Additional Details
Anticipated date of entry to Osaka International School (mm/yy)
*
required
Anticipated length of stay
*
required
Will the applicant be living with at least one parent?*
Yes
No
If the applicant be living with someone who is not the parent, who would the guardian be?
Thank you for completing the form. We will contact you once your application has been reviewed.
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