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.
漢字 e.g.,山田 太朗(if applicable)
ふりがな e.g.,やまだ たろう(if applicable)
Gender
*Required
male female
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).
Phone number
*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
Japanese English Other
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/middle school you graduated from or are currently attending
*Required
Please enter the expected graduation year and month from junior high/middle school.
Graduation year (or expected) (year/monty)
Name of your previous or current high school
*Required
Did not attend high school I am currently a high school student (Grade 10 or higher) Withdrew from High School High School Completion
No need to enter if you are not currently attending high school or are a middle school student.Enter your high school name.
Current Grade or Last Grade Attended
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 possible Other (Please select your preferred enrollment period)
Preferred start Year —以下から選択してください— 2025 2026 2027 2028 2029 2030 2031 2032
Month—以下から選択してください— 1 2 3 4 5 6 7 8 9 10 11 12
※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
as soon as possible Undecided (At my own pace) Other (Please select your target graduation period)
Preferred Graduation Year—以下から選択してください— 2025 2026 2027 2028 2029 2030 2031 2032
Month—以下から選択してください— 1 2 3 4 5 6 7 8 9 10 11 12
※This is only a goal and depends on the completion of required credits.
Mailing Adreess
Recipient's Name
*Required
Mailing Adreess
*Required
Please enter your address in Japanese.
ご住所日本語でご入力をお願いします
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, Block, Building Name, etc.
Delivery Instructions / Additional Notes:※Please ensure that the postal code and address are correct
Phone number
passport
*Required
Yes No in progress
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
Optional(for an additional 1,980yen) Not 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).
※The validity period is one year. Renewal (1,980 yen) is required annually.
※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 above Under 18 years old
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.
Captcha Verification
*Required
Please enter the characters in the image above using half-width alphanumeric characters.
Privacy Policy and Personal Data Protection
You cannot submit the form without checking the required fields.