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Information
CTIS
Our Curriculum
Schedule
Facility Overview/Access Information
Admission Process
Recruitment
English
- 日本語

日本語

Application for Admission

Inquiries

Information Sessions

Please fill out this form and submit it for your application for CTIS Kindergarten admission.

Student Information

Full name of your child

Full name of your child (kana)

Assigned gender of your child at birth

Male Female Other

Date and year of birth of your child

Preferred month and year of enrollment.

Language(s) your child use 1

Language(s) your child use 2

Your current plan for after graduating from Kindergarten

Enter a public elementary school Enter a private elementary school Enter a national elementary school Enter an international school other than CTIS Enter CTIS etc.

Parent Information

E-mail address

Phone number

Home address

Parent’s name 1

Parent’s name 2

Parents’ nationality 1

Parents’ nationality 2

Language(s) parent use 1

Language(s) parent use 2

Name of the company parent works for or owns 1 (if you are not working, please put “none”.

Name of the company parent works for or owns 2 (if you are not working, please put “none”.

Education

If the applicant attended any previous schools or is enrolled in any current school, please fill up the form below.
Please also add the region and location for schools with multiple campuses.

Education1

School Name1

City and Country1

Languages of Instruction1

Year Attended (Start)1

Year Attended (End)1

Education2

School Name2

City and Country2

Languages of Instruction2

Year Attended (Start)2

Year Attended (End)2

Education3

School Name3

City and Country3

Languages of Instruction3

Year Attended (Start)3

Year Attended (End)3

Education4

School Name4

City and Country4

Languages of Instruction4

Year Attended (Start)4

Year Attended (End)4

Education5

School Name5

City and Country5

Languages of Instruction5

Year Attended (Start)5

Year Attended (End)5

Student English Proficiency (Parent Assessment)

Choose the appropriate skills.

Spoken

Written

Reading

Sibling Information (if applicable)

Information1

Name1

Birthday1

Gender1

Male Female Other

Current Grade1

Information2

Name2

Birthday2

Gender2

Male Female Other

Current Grade2

Information3

Name3

Birthday3

Gender3

Male Female Other

Current Grade3

Information4

Name4

Birthday4

Gender4

Male Female Other

Current Grade4

Any sibling applying/attending International School?

Yes No

Name of the International School

Support Requirements

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

Does your child need help with English?

Yes No

Does your child have any medical concerns?

Yes No

Are there any psychological or emotional problems?

Yes No

Does your child have concerns about behavior?

Yes No

Are there any special learning needs?

Yes No

Does your child have a learning disability or the possibility of one?

Yes No

Does your child have other needs for assistance?

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 are your child's strengths and challenges?

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

What are the things that your child's teachers (at school, daycare, kindergarten, or lessons) have praised or identified as areas for improvement? Please let us know if there are any specific points.

Are there any other matters about your child or your family that you'd like to share or that require special attention?

If your child has any allergies, please list them all. If none, please write "None".

Religion (please provide details if special considerations are needed).

Any other information we need to know.

3-4 Sakuragaoka-cho, Shibuya-ku, Tokyo-to
Shibuya Sakura Stage SAKURA Tower 5th floor
TEL : 03-6455-3155 (rep.)
Email: info@kinder.capitaltokyo.com

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