Application Form
Please kindly fill out the student application form.
The form has five pages. Remember to click on the submit button on the last page so that your response is recorded.

HJIS

Preferred Enrolment Date *
MM
/
DD
/
YYYY
Student Info
Student’s Name *
First Last, Middle
Date of Birth *
MM
/
DD
/
YYYY
Nationality
Please enter all if multiple
Gender *
Previous School
State the last school your child attended
Current Grade
Languages Spoken
English Skills *
0: None, 4: Above Grade Level
0
1
2
3
4
Listening
Speaking
Reading
Writing
Japanese Skills
0: None, 4: Above Grade Level
0
1
2
3
4
Listening
Speaking
Reading
Writing
Home Phone
Zip code *
Home Address *
Living in Japan
How long has your child lived in Japan?
Moving to Another Country
Do you have plans to move to another country? If Yes, when?
Character & Health Information
Character
Describe your child’s character and aspects that may need encouragement, support or consideration
Well-Being
Does your child have any behavioral/emotional concerns that affect his/her well-being? Please explain.
Special Assistance *
Does your child need any special assistance?
Medications *
Does your child take any medication?
Next
Never submit passwords through Google Forms.
This form was created inside of Horizon Japan International School. - Terms of Service - Additional Terms