Online Application

Before completing the on-line application we would kindly ask you to check that your web browser is up to date – please use the latest versions of Safari, Chrome, Firefox, or Internet Explorer.

IMPORTANT: All fields marked with (*) are mandatory. If not applicable, please enter NA.

While applying online - be sure all required fields are filled before push the "SEND" button.
If you experience an "error" warning, please revise the page for missing fields.
If uploading photos on this form, please use images max size of 1 Mb (jpeg, png, gif formats). Otherwise, photos can be also sent to us via e-mail.
If you have difficulties filling out the form, please contact TIS Admissions Office via e-mail or phone at +81-(0)3-5484-1160.

STUDENT INFORMATION

Last Name * First Name * Nick Name
Applying to enter grade: * Desired time of enrollment: Month * Year *
Date of Birth: Day * Month * Year * Age: * Gender: * Male Female 
Nationality: * 2nd Nationality:
Sibling Already at TIS?  Check if Yes

Upload student Photo Upload family photo

For photos uploads, please use images max.size of 1Mb (jpg, png, gif formats)

CONTACT INFORMATION

Father's Last Name Father's First Name
Mother's Last Name Mother's First Name
Address *

Home Phone * Fax
Preferred E-mail * Secondary E-mail
Mobile (Father) Mobile (Mother)

SIBLINGS

Sibling 1 First Name Grade School Attending
Sibling 2 First Name Grade School Attending
Sibling 3 First Name Grade School Attending
Sibling 4 First Name Grade School Attending
Sibling 5 First Name Grade School Attending

STUDENT LANGUAGE INFORMATION

1st Language *
Speaking Level * Writing Level * Comprehension Level * % used at home *

2nd Language
Speaking Level Writing Level Comprehension Level % used at home

3rd Language
Speaking Level Writing Level Comprehension Level % used at home

Please briefly explain your child’s level of English in comparison with a child of a similar age whose first language is English *

Briefly explain your child’s level in his/her first language in comparison with a child of a similar age who has the same first language

STUDENT CURRENT SCHOOL

Current School * Current Grade attended * Years attended *
Previous School attended Grade attended Years attended
Previous School attended Grade attended Years attended

Contact to Current School: Telephone Number * E-mail Address *

PARENTS INFORMATION

Father Nationality *
1st Language * 2nd Language 3rd Language
Father Employer * Father Title * Office Phone *
E-mail Dad *

Mother Nationality *
1st Language * 2nd Language 3rd Language
Mother Employer * Mother Title * Office Phone *
E-mail Mom *

Student Lives With: * Expected time in Japan: *

DOES ANY OF THE FOLLOWING APPLY TO YOUR CHILD?

• Is taking any medication on a regular basis?  Yes No
• Has any physical/health limitation affecting school attendance?  Yes No
• Has been recommended for or already has been assessed for any social/emotional/learning issues?  Yes No
• Has received support services?  Yes No

If “Yes”, please check appropriate programs or services listed below:

 ESL / EAL
 Gifted / Gifted and Talented
 Behavior Management
 Remedial/Learning Support
 Speech Therapy
 Occupational Therapy
 ADD ADHD
 Spectrum Disorders (autism, asperger syndrome etc)
 Neuro-developmental evaluation
 Pediatric evaluation
 Others

*Please explain any “Yes” answer(s) with Additional Information and make arrangements to have all relevant assessment or reports (speech and language assessment, psycho-educational evaluation, etc.) forwarded to the Admissions Office of TIS.

Additional Information:

OTHER INFORMATION

Please Describe Child Personality *

Please list five aspects of a school which are most important to your family *

Reasons for Choosing TIS *

Source of introduction to TIS *

I/we certify that the information provided above is complete, correct and accurate to the best of our knowledge.
I/We authorize Tokyo International School to request further information from teachers/counselors/administrators for verification.

 I AGREE *

IMPORTANT: All fields marked with (*) are mandatory. If not applicable, please enter NA.

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