France Exchange Program
* Required
Parent First Name:
*
Parent Last Name:
*
Student Name:
*
Phone Number:
*
Email Address:
*
Present Grade Level
*
4th
5th
6th
PLEASE, ALSO, INDICATE THE FOLLOWING:
100% Interested (sign me up!)
interested (but need more information)
have hosted previously in (2008)
have hosted previously in (2006)
Other:
Interest Level Continued
Interested only in hosting a child this year from France
Interested in both hosting this year and then next year over Spring Break traveling to France with my now 4th or 5th grader (who next year will be in 5th or 6th) to be hosted by a family in France
Not sure yet
Other:
I would be interested in hosting a French adult teacher chaperone in my home
(you may need an extra room for hosting an adult teacher)
Yes
Other:
I would be willing to be the parent coordinator for this program?
(Mr. Mac needs a hand and would love some help if this is a go- I need a lead)
Yes
Other: