Application US High School

    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

    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

    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/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 schoolI am currently a high school student (Grade 10 or higher)Withdrew from High SchoolHigh 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 possibleOther (Please select your preferred enrollment period)

    Preferred start Year
    Month

    ※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 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

    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

    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.

    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.
    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

    captcha
    Please enter the characters in the image above using half-width alphanumeric characters.
    Privacy Policy and Personal Data Protection

    Confirmation of your input
    Required

    Your input has been confirmed.By clicking the submit button below, a "submit" will appear, and an automatic confirmation email will be sent to you. If you do not receive the confirmation email, please also check your spam folder.

    You cannot submit the form without checking the required fields.

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