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