Form 8-2018        Page 2/2  1 copy to the Visiting School, 1 for your School

 

INTERNATIONAL SCHOOL-TO-SCHOOL EXPERIENCE (ISSE)

HOSTING STUDENT INFORMATION

 

Our School ________________________________________________ Dates of Visit ___________________________

Visiting School ___________________________________________________________________________________

 

Name ____________________________________________ Age __________ Birthdate( MM/DD/YY) ______________

Address ___________________________ Zip Code ________ Student Phone _________________________________

Guardian Phone ______________________________ Email ________________________________________________

 

Name ____________________________________________ Age __________ Birthdate( MM/DD/YY) ______________

Address ___________________________ Zip Code ________ Student Phone _________________________________

Guardian Phone ______________________________ Email ________________________________________________

Name ____________________________________________ Age __________ Birthdate( MM/DD/YY) ______________

Address ___________________________ Zip Code ________ Student Phone _________________________________

Guardian Phone ______________________________ Email ________________________________________________

Name ____________________________________________ Age __________ Birthdate( MM/DD/YY) ______________

Address ___________________________ Zip Code ________ Student Phone _________________________________

Guardian Phone ______________________________ Email ________________________________________________

Name ____________________________________________ Age __________ Birthdate( MM/DD/YY) ______________

Address ___________________________ Zip Code ________ Student Phone _________________________________

Guardian Phone ______________________________ Email ________________________________________________

Name ____________________________________________ Age __________ Birthdate( MM/DD/YY) ______________

Address ___________________________ Zip Code ________ Student Phone _________________________________

Guardian Phone ______________________________ Email ________________________________________________

Name ____________________________________________ Age __________ Birthdate( MM/DD/YY) ______________

Address ___________________________ Zip Code ________ Student Phone _________________________________

Guardian Phone ______________________________ Email ________________________________________________

Name ____________________________________________ Age __________ Birthdate( MM/DD/YY) ______________

Address ___________________________ Zip Code ________ Student Phone _________________________________

Guardian Phone ______________________________ Email ________________________________________________

Name ____________________________________________ Age __________ Birthdate( MM/DD/YY) ______________

Address ___________________________ Zip Code ________ Student Phone _________________________________

Guardian Phone ______________________________ Email ________________________________________________

Name ____________________________________________ Age __________ Birthdate( MM/DD/YY) ______________

Address ___________________________ Zip Code ________ Student Phone _________________________________

Guardian Phone ______________________________ Email ________________________________________________

 

Hosting adult information

Name _____________________________________________ Age __________ Birthdate (MM/DD/YY) _____________

Address_________________________________________________________________ Zip Code _________________            Email________________________________________________________

Role at the hosting school ___________________________

Name _____________________________________________ Age __________ Birthdate (MM/DD/YY) _____________

Address_________________________________________________________________ Zip Code _________________            Email________________________________________________________

Role at the hosting school ___________________________