Elementary & Middle School Application Form

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Admissions Information

April 2023 Enrollment: Elementary School G1-G5 and Middle School G6-G7
During 2022 School Year: Accepting Elementary School G1, G3, and G4 only

Applicants proceed to the following form to start the official application process.
Your application will be submitted after the confirmation page.
Please be aware that if you would like to withdraw your application for personal reasons after submitting the application form, we will not be able to accept your re-application in the future.

Fill in
Confirm
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* Required

Month of enrollment preference. *

April enrollment September enrollment (for transfer admissions only)

Grade of Enrollment *

Student Information

Student Name * Middle name is optional

Student Name(Kana) * Middle name is optional

Date of Birth *

Gender *

Male Female

Nationality *

Religion

Mobile Phone *

E-mail Address *

First Language *

Second Language

Education

If the applicant attended any previous schools or is enrolled in any current school, please fill up the form below.

	Education1 *	Education2	Education3	Education4	Education5
School Name
City and Country
Languages of Instruction
Year Attended	.　to　 .	.　to　 .	.　to　 .	.　to　 .	.　to　 .
Grades Attended

Student English Proficiency (Parent Assessment)

Choose the appropriate skills.

Spoken *

Written *

Reading *

Local Address in Japan

Street Address *

City *

Prefecture *

Family Information

	Parent1 *	Parent2
Name
Relationship
Nationality
First Language
Other Language Spoken
Address
Mobile Phone Number
Email Address
Date of Birth
Academic Background
Marital Status (Married or Single)	Married Single	Married Single
Employer Name
Employer Address

Sibling Information (if applicable)

Name	Birthday	Gender	Current Grade
		Male Female
		Male Female
		Male Female

Any sibling applying/attending International School? *

Yes No

Name of the International School

Emergency Information

	Contact1 *	Contact2
Name
Relationship
Nationality
Language Spoken
Address
Mobile Phone Number
Email Address

Support Requirements

Has the applicant received or is receiving any support in regard to the following:

English Language *

Yes No

Medical Concerns *

Yes No

Psychological/Emotional *

Yes No

Behavior Concerns *

Yes No

Special academic Support Needs *

Yes No

Specific Learning Difficulties/Needs *

Yes No

Any additional support your child needs *

Yes No

Are there any support services that the applicant previously required or currently requires? *

Yes No

Currently or previously taking medication? *

Yes No

If "Yes", please specify the reason.

Further Information

How did you hear about CTIS?

Please tell us why you decided to apply to CTIS.

What is your child`s personality?

What are your child`s favorite things to do?

What is your child`s favorite subject? Why?

Does your child currently or previously participate in any extracurricular activities (i.e. sports, music, dance, etc.)?

What are your child`s academic strengths and weaknesses?

Are there any other details or circumstances relating to your child or family that we should know about?

Admissions Information