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501.6P - Affidavit by International Exchange Student Host/Sponsoring Family

501.6P - Affidavit by International Exchange Student Host/Sponsoring Family

Adopted: September 1986
Revised: September 1991

 

Download 501.6P - Affidavit by International Exchange Student Host/Sponsoring Family

 

International Exchange Students (J-1 Visa)

This form must be submitted by host families before the enrollment of an international exchange student.

 

I,                                      , request the admission of                                         , an international exchange student from                                       , local address                                                                                                                                                                            

phone number                             date of birth                      grade level in U.S. schools

Name and address of international exchange program                                                                                                                                                                                                       

Name and phone number of local representative                                                                   

To my knowledge                                   has sufficient English language skills to participate in school without support services, and I understand that no special services will be provided.

 

During the time period of                                 through                           , I accept responsibility and liability for this student. I verify that I am serving as volunteer host without personal profit.

 

                                                                                                   

                                        Signature Host/Sponsoring Family

 

                                                                                                   

                                        Date

 

C:       Student’s cumulative folder

          School’s file on international students