Host Information Form Foreign Exchange Students
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5Douglas County School District RE-1
620 Wilcox Street
Castle Rock, CO 80104
HOST INFORMATION FORM
FOREIGN EXCHANGE STUDENTS
INSTRUCTIONS FOR RETURNING THE COMPLETED FORMS
REQUEST FOR ENROLLMENT: (to be filled out by Host(s))
The Host Information form should be completed by the person being appointed the Host(s) through the Foreign
Exchange Organization (FEO) for the Foreign Exchange student. The signature(s) on the form must be
notarized.
Please complete Page 1 of 4 and Page 2 of 4. Return the completed form along with a copy of the foreign
exchange student's birth certificate (must be translated into English). You can fax or mail the completed
documents to the number or address below. As soon as they are received and approved, the appropriate
school will be notified to proceed with registration.
Return to:
Douglas County School District RE-1
Attention: Student Data & Information Services - FE/TG
701 Prairie Hawk Drive
Castle Rock, CO 80109
(720) 433-0131 FAX
POWER OF ATTORNEY: (to be filled out by the FEO)
The Power of Attorney (Page 3 of 4 and Page 4 of 4) will be completed by the Foreign Exchange Organization
(FEO). Due to the parents giving the organization their power of attorney while their child is attending school in
the United States, the organization will identify who the Host(s) will be while the student is attending one of the
District schools. A copy of the FEO's power of attorney from the parents must also be provided to the District.
A certified translated birth certificate must also be provided to the district before approval can be given. The
Power of Attorney may not exceed a period of twelve (12) months.
ENROLLMENT PROCESS
1. The person wishing to be the Host(s) MUST be a resident of Douglas County School District RE-1 and
show proper identification (copy of warranty deed, lease agreement, tax notice or other proof of residence).
2. The Host(s) must submit to the District a Power of Attorney executed by the FEO that delegated parental
powers to the Host(s) in compliance with applicable provisions of Colorado probate law.
3. The FEO must execute the Acknowledgment of Enrollment Procedures form.
4. To obtain appropriate authorization from school district officials, the Host(s) must complete and sign the
Host Information form and return this form with the Power of Attorney and Acknowledgment to the District.
5. As the Power of Attorney will
exceed twelve (12) months, the process will need to be repeated if
NOT
continued enrollment is desired.
10/02/12
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