Please enable JavaScript in your browser to complete this form.入学希望生徒氏名 * Child's name *FirstLastふりがな * Child's name in Japanese *FirstLast生徒生年月日 * Date of birth *生徒年齢【歳】* Age *生徒性別 * Gender *MF現地校学年 * School year *お住まいサバーブ * Suburb *保護者氏名 * Parent's name *FirstLast連絡先番号 * Contact number *Email *お子様の出生地 * Country of origin *The following will be a valuable resource for assessing your child’s Japanese language level, so we appreciate your cooperation.お子様の生育地 * Where did your child grow up? *Example: March 2010 – June 2011 France, 2011 – Australiaご家庭の使用言語割合 – 以下【例】を参考に、①から④まですべてご記入下さい。What languages does your child speak? *【例】日本語:80%、英語:20%お子様はどのように日本語をお使いですか? * How much Japanese does your child speak at home? *日本語を中心にして話す英語を中心にして話す日本語と英語が半分くらい日本語のみ英語のみひらがなの読み書きはどの位出来ますか? * How much 'Hiragana' is your child able to read and write? *カタカナの読み書きはどの位出来ますか? * How much 'Katakana' is your child able to read and write? *漢字の読み書きはどの位出来ますか? * How much 'Kanji' is your child able to read and write? *日本語を勉強しようと思ったきっかけを教えてください * Please tell us your child's motivation for learning Japanese *日本語学習の具体的な目的や目標を教えてください * Please tell us any specific goals or objectives your child has for learning Japanese *現地の学校で日本語を学んだことはありますか? * Have you studied Japanese at a local school? *はい * Yesいいえ * No上記が「はい」の場合、あなたのお子様の日本語のレベルは現在どのくらいですか? * If Yes, what level of Japanese language is your child currently at? e.g. Basic, intermediate, advanced? *アレルギーの有無 * Does your child have any allergies? *有 * Yes無 * Noその他何か参考になる情報がありましたら教えて下さい。* If you have any other information that would be helpful, please let us know.EmailSubmit