Host Information Form Foreign Exchange Students Page 5
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5ACKNOWLEDGEMENT OF ENROLLMENT PROCEDURES FOR
FOREIGN EXCHANGE STUDENTS
The undersigned,
who is the FEO
representative for the foreign exchange student
, a student
who has requested enrollment in Douglas County School District RE-1, acknowledges the following
understanding of the School District's enrollment procedures for foreign exchange students:
1. Temporary custody and control of the student has been delegated by the undersigned FEO
Representative to a Host(s) pursuant to a power of attorney as authorized by C.R.S. § 15-14-105, within
thirty (30) days of signature of this document.
2. The FEO understands that enrollment is applicable only where the child is living with a Host(s) within
the District during their attendance at a District school.
3. The FEO acknowledges that the student will regularly eat and sleep at the dwelling place of the Host(s)
during their attendance at a District school.
4. The FEO further understands and agrees that the student listed above will be immediate withdrawn
from the Douglas County School District RE-1 if the requirements of enrollment, as set out above, are not
met at any time.
5. We further agree to notify the School District if facts or circumstances change so that the student is no
longer in compliance with the requirements for enrollment.
Date:
FEO Representative (printed name and signature)
10/02/12
Page 4 of 4
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