1.    5121E
      2. APPLICATION OF INCOMING FOREIGN EXCHANGE STUDENT

 


   5121E



     5121E
 


APPLICATION OF INCOMING FOREIGN EXCHANGE STUDENT



APPLICATION OF INCOMING FOREIGN EXCHANGE STUDENT
 
This application form must be completed annually by the sponsoring organization and submitted to the high school principal not later than June 30 for consideration for the following school year.
 

1.  Name of sponsoring organization:……………………………………………………………………
 
2.   Name/Address of sponsoring organization’s local coordinator:………………………………….
 
……………………………………………………………………………..PHONE…………………..
 
3.   PROOF OBTAINED
● Designation as an “Exchange Visitor Program by the US Information Agency  Yes No
● Approval of Council of Standards on International Educational Travel (CSEIT) Yes No ________________________________
4.   Name of Potential Student:…………………………………………………………………………
 
 Date of Birth:………………………………………..Nationality:………………………………….
 
5.   Name /Address of Potential Host family:…………………………………………………………
 
…………………………………………………………………………Phone……………………
 

6.  Attached to this application for information of the sponsoring organization and the potential host parent(s) are a copy of the school district’s policy and regulations on the admission of foreign exchange students.
 
7.  The signatures of the local coordinator and the host parent(s) signify they have received the policy and regulations and that they agree to meet and comply with all requirements set forth in those documents and to submit all required documentation and information.
 

Signatures:
 
 Local Coordinator/Sponsoring Organization ………………………………………Date…  
 Potential Host Parent(s)…………………………… ………………………………Date……….
 
8.  Building Principal’s Recommendation:  Approve  Deny    Date……………
 

I have reviewed this application and any other supporting information. All of the requirements in the policy and regulations have have not been met. It is my recommendation that this application be approved/rejected for the ………school year.
 

Comments:
 
9.  Action by Superintendent of Schools:  Approve  Deny    Date ………….
 
 Comments:
 
 
 
 
ADOPTED:: May 21, 1997        WAYNE CENTRAL SCHOOL DISTRICT    
 

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