FUKUOKA INTERNATIONAL SCHOOL

Applicant Information

Please enter the Applicant's details.

Applicant's Namerequired

First Name

Nickname (optional)

Middle (optional)

Last Name

Sexrequired

Male

Female

Date of Birthrequired

Must contain a date in D/M/YYYY format

Birthplacerequired

What is the Applicant's nationality?required

Which countries has the Applicant lived in?required

What is the main language the Applicant communicates in at home?required

Does the Applicant speak any other languages? (Please list)required

Does the Applicant have any siblings?required

Yes

Please list the names and ages of the Applicant's siblings.required

Grade applying forrequired

Please list the name and location of the current/most recent school the Applicant has attended.required

Please include the city and country where the school is located.

Family Information

Parent/Guardian 1 (Primary Contact)

Please enter the details of the primary Parent/Guardian (referred to as "Parent/Guardian 1").

It is expected that Parent/Guardian 1 will live with the Applicant.

As a primary contact, Parent Guardian 1 will also:

be contacted in an emergency situation;
have full access to all information provided by the school (including report cards, etc); and
receive postal and electronic mail from the school.

Name of Parent / Guardian 1required

Prefix (optional)

First Name

Last Name

Relationship to Applicantrequired

Mother

Father

Guardian

Other

Please provide details of the relationship between Parent/Guardian 1 and the Applicant.required

Email address (Parent/Guardian 1)required

Primary phone number, including area code (Parent/Guardian 1)required

(000) 000-0000

Street address (Parent/Guardian 1)required

Please provide a Fukuoka address if possible.

City (Parent/Guardian 1)required

Postal/zip code (Parent/Guardian 1)required

Country (Parent/Guardian 1)required

Nationality(ies) (Parent/Guardian 1)required

Primary language spoken at home (Parent/Guardian 1)required

Please list any other language(s) spoken comfortably (Parent/Guardian 1)

Level of spoken English (Parent/Guardian 1)required

Company industry (Parent/Guardian 1)required

Please select "none" if not applicable

Company name (Parent/Guardian 1)required

Please enter "N/A" if not applicable

Company website if applicable (Parent/Guardian 1)

Please paste URL here.

Job title if applicable (Parent/Guardian 1)

Work phone number if applicable (Parent/Guardian 1)

(000) 000-0000

Work email address if applicable (Parent/Guardian 1)

Is Parent/Guardian 1 a single parent to the Applicant?required

Yes

Parent/Guardian 2

Please enter the details of a secondary Parent/Guardian (referred to as "Parent/Guardian 2").

As a primary contact, Parent Guardian 2 will:

be contacted in an emergency situation
have full access to all information provided by the school (including report cards, etc)
receive postal and electronic mail from the school

Name of Parent / Guardian 2required

Prefix (optional)

First Name

Last Name

Relationship to the Applicantrequired

Mother

Father

Guardian

Other

Please provide details of the relationship between Parent/Guardian 2 and the Applicant.

Email address (Parent/Guardian 2)required

Primary phone number, including area code (Parent/Guardian 2)required

(000) 000-0000

Street address (Parent/Guardian 2)required

Please provide a Fukuoka address if possible.

City (Parent/Guardian 2)required

Postal/zip code (Parent/Guardian 2)required

Country (Parent/Guardian 2)required

Nationality(ies) (Parent/Guardian 2)required

Primary language spoken at home (Parent/Guardian 2)required

Please list any other language(s) spoken comfortably (Parent/Guardian 2)

Level of spoken English (Parent/Guardian 2)required

Will Parent/Guardian 2 live with the Applicant?required

Yes

Company industry if applicable (Parent/Guardian 2)

Company name if applicable (Parent/Guardian 2)

Company website if applicable (Parent/Guardian 2)

Please paste URL here.

Job title if applicable (Parent/Guardian 2)

Work phone number if applicable (Parent/Guardian 2)

(000) 000-0000

Work email address if applicable (Parent/Guardian 2)

Parent/Guardian Consent

I/we give consent for: (please select any relevant boxes)required

FIS to contact the Applicant's current/previous school in order to obtain or verify information relating directly to this application.

the Applicant's picture to appear in online materials (including the FIS website and social media pages) and other school marketing materials approved by FIS. Please note that the Applicant will not be identified by their full name.

the Applicant's picture and name to be printed in the FIS Yearbook (please note that the Yearbook is not circulated outside of the FIS community).

the Applicant to leave the school campus for school sponsored trips under school supervision (please note that details of school trips will be communicated with the Applicant's Parent(s)/Guardian(s) ahead of time)

the Applicant to participate in interviews (newspaper and video) as approved by FIS leadership.

the Applicant's Parent/Guardian's contact details to be shared with the PTA.

Parent/Guardian Declaration

I/we declare that:required

the information provided in this Enrollment Application Form is true and correct.

I/we will inform FIS in a timely manner of any change in the information provided in this Enrollment Application Form (including changes in contact details).

I/we will adhere to the rules, regulations and procedures of Fukuoka International School as stated in the Code of Conduct & Safeguarding Policy.

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In This Section

International Mindedness Application Form

FUKUOKA INTERNATIONAL SCHOOL

Applicant Information

Family Information

Other questions

Parent/Guardian Consent

Parent/Guardian Declaration

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