Application -US High School Diploma Program-

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    Applicant's name *Required
    Same as passport

    Please enter your surname followed by your given name, exactly as it appears in your passport.
    Surname e.g., YAMADA
    Given name e.g., Taro

    Japanese name
    （if applicable）

    苗字(firstname) 名前(given name)の順で入力
    Please enter your name in Japanese.
    　 e.g.,山田　太朗(if applicable)
    ふりがな e.g.,やまだ　たろう

    sex
    *Required

    email
    *Required

    Please enter the email address of the participant

    Confirmation Email Address – Please enter your email address again.※For mobile phone users, if you have spam filters enabled, please ensure that you can receive emails from the following addresses:
    (@aj-academy.jp) and (@ajinternational.jp).

    TEL
    Required

    Date of Birth
    e.g.,June 28, 2007
    Please enter in the format: YYYY/MM/DD
    *Required

    ←click
    Date of Birth YYYY/MM/DD
    e.g.,June 28, 2007→2007/06/28

    Country of Birth *Required
    Same as passport

    Please enter your country of birth.
    Country of Birth

    Native Language

    *Required

    JapaneseEnglishOther

    Current grade
    *Required

    What grade are you currently in?Grade 7(中1)Grade 8(中2)Grade 9(中3)Grade 10 (高1)Grade 11 (高2)Grade 12 (高3)Other - For those who have dropped out or graduated (e.g., Left school in the 11th grade, High school graduate)

    Name of the junior high school you graduated from or are currently attending
    *Required

    Please enter the expected graduation year and month from junior high school.
    Graduation year (or expected) (year/monty)

    Name of your previous or current high school
    *Required

    I am currently a high school student (Grade 10 or higher)
    No need to enter if you are not currently attending high school or are a middle school student.
    or

    High school graduation qualification *Required

    N/ACompleted successfully
    e.g.,GED, etc.

    English qualification exam
    Tick the tests you have taken Multiple selections allowed

    TOEFL (score) Duolingo (score) Eiken（grade） others（Test name and result/level） N/A
    If your native language is not English, please submit proof of an English language test after enrollment.If you have not taken an English language test, please complete a test such as Duolingo within two months after enrollment and provide the results.

    Preferred Enrollment Period
    Required

    As soon as possibleOther (Please select your preferred enrollment period)

    Prefer to enroll in 　Prefer to enroll in the beginning of

    ※Due to the time difference between Japan and the United States, we are unable to accommodate requests for a specific enrollment date, such as "Preferred enrollment on [month] [day]." Please be aware of this in advance.

    Preferred Graduation Period
    Required

    Graduate as soon as possibleUndecided (At my own pace)Other (Please select your target graduation period)

    Preferred Graduation Year Month

    ※This is only a goal and depends on the completion of required credits.

    Mailing Adreess
    Recipient's Name
    Required

    Mailing Adreess
    Required

    郵便番号 (Required)

    （Postal Code）

    都道府県 (Required)

    （Prefecture）

    市区町村 番地号　建物名等 (Required)

    City / Ward / Town / Village Street Address

    Delivery Instructions / Additional Notes：※Please ensure that the postal code and address are correct

    TEL#

    passport
    Required

    Please attach your passport
    File size must be below 3MB
    Required if you have

    Please attach a scanned document or a photo taken with your mobile phone.If you do not have a valid passport, an expired one is also acceptable.Alternatively, please attach a document that verifies the spelling of your name.

    International Student ID
    Required


    The International Student ID costs 1,980 yen per year and offers student discounts in over 90 countries. It provides savings on admission fees to museums, historical sites, and more. However, its use in Japan is limited and does not apply to transportation discounts. Discount details vary by facility, so check with each institution.
    Please refer to https://isicjapan.jp/en/
    ※Only virtual cards will be issued.
    ※AJ students can obtain it at a special price (1,980 yen/year).
    ※Issuance is limited to members of the U.S. online high school graduation program.

    Parent/Guardian Consent
    *Required

    Students under 18 years old require parental consent.
    18 years old and aboveUnder 18 years old

    Parent/Guardian Name
    Relationship to the student
    Parent/Guardian Email Address

    Confirm Email Address - Please enter your email address again※If you have spam filters enabled, please ensure that you can receive emails from (@aj-academy.jp) and (@ajinternational.jp).

    Name of the referring school/organization
    Name

    Referring School/Organization Name / Referrer's Full Name（e.g.,international school/John Smith）

    Confirmation of Agreemen
    Required

    I wish to enroll in the U.S. online high school graduation program.
    I understand that AJ International Academy is not a branch of Penn Foster High School.
    I understand that when applying to universities in Japan, I need to personally verify whether graduating from the U.S. online high school program qualifies me for admission to my desired university.
    For non-native English speakers, those who have never taken an English proficiency test, or those whose test results are outdated, it may be required to take an English proficiency test, such as Duolingo, within two months after enrolling in Penn Foster High School and submit the results. This requirement depends on the type of English test previously taken.

    Terms and Conditions
    Required

    Term and Conditions download
    I have reviewed the terms and conditions.

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    Required

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    Privacy Policy and Personal Data Protection

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