Please complete a separate form for each applicant.

Contact Details

Contact email addressrequired

Contact phone numberrequired

Applicant (Student) Details

Applicant's family namerequired

Applicant's given namerequired

Applicant's middle name(s)

Name in Katakana (if available)

Last name, first name

Applicant's genderrequired

Date of birthrequired (dd/mm/yyyy)

Applicant's nationalityrequired

2nd nationality

Nationality of Parent 1required

Please indicate the nationality of one of the applicant's parents

Nationality of Parent 2required

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 schoolrequired

Country of current schoolrequired

Current grade levelrequired

Date started at current school (mm/yy)required

School year at current schoolrequired

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 schoolrequired

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 homerequired

Secondary language spoken at home

Applicant's English level for readingrequired

Applicant's English level for writingrequired

Applicant's English level for listeningrequired

Applicant's English level for speakingrequired

Parent 1: English level for readingrequired

Parent 1: English level for writingrequired

Parent 1: English level for listeningrequired

Parent 1: English level for speakingrequired

Parent 2: English level for readingrequired

Parent 2: English level for writingrequired

Parent 2: English level for listeningrequired

Parent 2: English level for speakingrequired

Has the applicant ever been promoted or held back in his/her school career?*

Yes No

Does your child participate in any special programmes other than regular classes, e.g. ESOL (English for Speakers of other Languages), Gifted, ADHD/IEP (Individual Educational Plan), etc.*

Yes No

If yes, please provide more details

Additional Details

Anticipated date of entry to Osaka International School (mm/yy)required

Anticipated length of stayrequired

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.