Revised July 2014
SECTION III: HOST SCHOOL INFORMATION
Name of Host School: _________________________________________ Host ISD: ____________________________________
School Mailing Address: ____________________________________ City: __________________________ Zip: ____________
Host Principal’s Name: ___________________________________
Superintendent’s Name: ____________________________
School Phone: __________________________________________
School Fax: ______________________________________
SECTION IV: HOST PARENT INFORMATION
Host Parent Name: _______________________________________ Contact Number: __________________________________
Mailing Address: _________________________________________ City: ____________________________ Zip: _____________
Has Host Parent previously hosted other Foreign Exchange Students?
Yes
No
If yes, attach a sheet with the name of the student(s), their home country, year they were in the United States (This must be attached for the applica
tion to be considered complete).
Did any of the above named students apply for an athletic waiver?
Yes
No
If yes, who and what school year? ______________________________________________________________________________
SECTION V: ATHLETIC INFORMATION
In what specific sport(s) does student intend to participate: __________________________________________________________
Give detailed summary of previous experience in each sport in which student intends to participate
(years of participation, number
of games per season, level of coaching, etc.). This includes club/recreational activities also. If student has never participated in
sport(s), please indicate none. No experience means the student has never played the sport formally. The student may apply for a
waiver if he/she has not received advanced training (defined as training which is above and beyond that which is normally provided
in Texas public schools) in the germane activity prior to arriving in Texas, such as pre-Olympic training, being nationally ranked or
having similar status in a sport, or participation on a national team.
Application cannot be considered complete without this
information.
Attach additional sheet if necessary. _________________________________________________________________
__________________________________________________________________________________________________________
Is student nationally ranked in any sport in his/her home country?
Yes
No
If yes, give sport and ranking: _________________________________________________________________________________
In home country what months are requested sport(s) played? _________________________________________________________
SECTION VI: ELIGIBILITY VERIFICATION
How many total years must be completed to graduate from home country school? _______________________________________
Has student graduated from his/her former high school?
Yes
No
If yes, when? ____________________________
If yes, give name and describe (certificate, diploma, etc.): ____________________________________________________
First date of enrollment in 9th year of school, not to include kindergarten or pre-school: __________________________________
Last date attended previous school: ______________________________________________________________________
Total years of school (not including kindergarten or pre-school) BEFORE student came to the United States: __________________