After School Application Form (External) - Capital Tokyo International School (CTIS) | キャピタル東京インターナショナルスクール

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The form below will take you through the CTIS afterschool enrollment application process.
When you submit the form after passing the confirmation screen, your provisional application will be accepted.
After receiving your provisional application, we will contact you to set up a meeting to explain CTIS After School's terms and conditions and receive an official application for enrollment.

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* Required

Courses and Days

Month of enrollment preference *

Grade *

Courses *

Standard Course (2:30pm to 6:00pm) 5 days a week Standard Course (2:30pm to 6:00pm) 3 days a week EAL Course (2:30pm to 4:45pm) 5 days a week EAL Course (2:30pm to 4:45pm) 3 days a week

Days of week *

If you choose "Standard Course (14:30-18:00) 5 days a week" or "EAL Course (14:30-16:45) 5 days a week", select all 5 checkboxes from Monday to Friday, if you choose "Standard Course (14:30-18:00) 3 days a week" or "EAL Course (14:30-16:45) 3 days a week If you choose "Standard Course (14:30-18:00) 3 days a week", please select any 3 days from the checkboxes from Monday to Friday.

Monday Tuesday Wednesday Thursday Friday

Additional Hours

*For the stay after 7pm, you need to order meal.

Monday

Tuesday

Wednesday

Thursday

Friday

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.

School Name *
City and Country *
Languages of Instruction *
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
Employer Name
Employer Address

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?

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

Courses and Days

Student Information

Education

Student English Proficiency (Parent Assessment)

Local Address in Japan

Family Information

Emergency Information

Support Requirements

Further Information

Pre-Application Inquiries

Pre-Application Inquiries

About CTIS

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Learning

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