Passport Exchange Student Application

All fields are required

Student's Name

Student's School / Grade:

/

I am:

—Please choose an option—a non-American Student looking to visit Americaan American Student looking to visit Spainan American Student looking to visit Italyan American Student looking to visit Spain or Italy

Parent's Name:

Parent's Phone (Home / Cell Phone):

/

Parent's email:

Parent's Address:

Parent's Occupation:

How many years of English have you studied in school

Please list any allergies to pets, food, or pollen. Enter "none" if you do not have allergies.

Please write below a description of what you might hope to gain from and what you might hope to bring to the experience of living as a guest for four weeks in an American family.

Please write below a description of what you most enjoy doing in your leisure time. You may list various activities and you could mention your favorite books, movies and subjects in school.

Please submit a recent photo of the student. (Photos must be either jpg, png, or pdf and less than 1M in size; You may email this to us separately if you have trouble uploading.)

If you have already completed the Student Participation Application, please upload it here: (Application MUST BE a PDF file and less than 1M in size; You may email this to us separately
if you have trouble uploading.)

Let us know if you have any additional questions or comments

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