Clear Form

This Preliminary Application is to be filled out by the applicant and the parent/guardian.

☐ 2021-22 Academic Year

Student Information

☐ M
☐ F
☐ Other:
☐ Junior High: 7th - 9th Grade
☐ High School: 10th - 12th Grade
Choose one:
☐ Chinese-English Dual Immersion Program
☐ Japanese-English Dual Immersion Program
☐ Spanish-English Dual Immersion Program
For U.S. applicants
Check all that apply.
Please be specific.
Please be specific.

Home/Residential Information

Where the student resides
(Include country, city, and area code)
(Include country, city, and area code)
☐ English
☐ Chinese (Mandarin)
☐ Japanese
☐ Chinese (Cantonese)
☐ Spanish
☐ French
☐ Korean
☐ Other:

Educational Information

Begin with your current school.
Name of SchoolGrade(s) AttendedContact NamePhoneAddress
(If English is your 1st language, please skip this question.)
Check all that apply:
Check all that apply:
Check all that apply:
(ex. STAR, PSAT, SSAT)
TestDate TakenScore

International Student Information

Please skip this section if you are not applying as an International Student.

If yes, please fill out the section below:

For International applicants
(TOEFL, IELTS)
Please list your test scores
TestDate TakenScore

Please select the appropriate choices to indicate your opinion of your English skills.

☐ None
☐ Beginning
☐ Good
☐ Very Good
☐ Excellent
☐ None
☐ Beginning
☐ Good
☐ Very Good
☐ Excellent
☐ None
☐ Beginning
☐ Good
☐ Very Good
☐ Excellent
☐ None
☐ Beginning
☐ Good
☐ Very Good
☐ Excellent

Family Information

☐ Both Parents
☐ Mother Only
☐ Father Only
☐ Mother and Stepfather
☐ Father and Stepmother
☐ Other Relative(s)
☐ Legal Guardian(s)
☐ Foster Parent(s)
☐ Other:

Parent/Guardian 1

☐ Mother
☐ Father
☐ Legal Guardian
☐ Other:
SpeakReadWrite

Parent / Guardian 2

☐ Mother
☐ Father
☐ Legal Guardian
☐ Other:
SpeakReadWrite

General Information

Supplemental Documents

The Supplemental Documents will be shared with you upon the submission of this preliminary application.

All documents listed in the Application Checklist must be submitted before the application can be processed.

The Assessment Form is to be submitted by the applicant’s current teacher
(Instructions are stated in the document)

Photo/Video Release Policy

A. Internal Use: Photographs and videos may be taken and used for parent educational materials, Parent-Teacher Conferences, Transparent Classroom, the annual Yearbook, and school-related events such as, but not limited to: the Moon Festival, Spring Festival, Gala, and Japanese Children’s Day.

B. External Use: Photographs and videos may be shared and used for communications, marketing, and other purposes. Marketing methods may included, but are not limited to: print media, brochures, advertising, internet, website, email, school publications and promotions, newsletters, blogs, public PowerPoint® presentations, social media (Facebook, Instagram, Twitter, Youtube), and any manner of items relevant to promoting the school and its programs. In using any photos of Applicant in website or publications, PRINTS’ foremost priority is the protection of the safety and privacy of the child. No child will be identified by name on websites available to the public. Children will appear only in photos that reflect PRINTS’ respect for the child.

Non-Discrimination Policy

PRINTS has a non-discriminatory policy relative to nationality, ethnicity, religion, gender identity, and sexual orientation with respect to the admission of sutdents and the employment of faculty and staff. PRINTS considers the records of all individual students to be confidential information available to a child’s parents or guardians upon request. Records will only be released to other schools or agencies upon signed request from a parent, guardian, or student over the age of 18, and only after all accounts due are paid in full.

☐ I agree

By signing this application electronically, I certify that I have read and fully understand the above information. I understand that the submission of the application does not guarantee enrollment.

Type name of Applicant
Type name of Parent/Guardian

Application Fee

Please submit this application along with a non-refundable application fee.

Application Fee:
U.S. Applicants — $105 USD
International Applicants — $520 USD

Cash or check payments are eligible for:

  • $5.00 discount for U.S. applicants.
  • $20.00 discount for International applicants.

Debit/Credit: Please follow the instructions on the next page after the application is submitted.

Check: Please make the check payable to PRINTS.

Cash or check payments can be mailed to or dropped off at the following address:

454 Peninsula Avenue
San Mateo, CA 94401

Direct Wire: Please contact our Admissions office for further instructions at admissions.sm@printschool.org