ASIA PACIFIC LANGUAGE SCHOOL

A Non-Profit Organization Established in 1995

14040 NE 8th Street Suite 302 Bellevue WA 98007-4122 USA www.apls.org
Tel (425) 641-1703 Fax (866) 884-3488 E-mail apls@apls.org

Application for Admission

Date: ______________________ Apply for academic year _____________

Month / Date / Year

Name of Student ___________________________ Birthday/Grade __________________

Parent’s or Guardian’s Name _________________________________________________

Contact Phone No. _______________________ Emergency Phone No. ___________________

HomeAddress:____________________________________________________________________

E-Mail: __________________________________________________________

Class Registered: Chinese Japanese Summer Cultural Exchange in China

After-school Saturday Pre-school Other __________

Please Mark All Applied: Program and Attending Days

Chinese Beginner Chinese Intermidia Chinese HSK Prep. Chinese A/P Prep.
Japanese Neginner Japanese Intermidia Japanese A/P Preg. Japanese Advanced
Preschool Chinese: Monday Tuesday Wednesday Thursday Friday
Preschool Japanese: Monday Tuesday Wednesday Thursday Friday

Note: New students, please include a one-time $45.00 application fee payable to Asia Pacific
Language School.

Return the completed form to our main office at:

14040 NE 8th Street, Suite 302
Bellevue, WA 98007-4122

Questions? Please contact us at 425-641-1703.