HBSCA Student Exchange Pgm Application
Application
Email address *
Student Name *
Your answer
Student Age *
Your answer
Student Grade *
Your answer
Student Gender *
Parent Name(s) *
Your answer
Parent Email(s) *
Your answer
Student Email *
Your answer
Address *
Your answer
Parent Phone Number *
Your answer
Student Phone Number *
Your answer
Student: Briefly describe why you want to participate in our Student Exchange Program. *
Your answer
Student: When your Loreto brother/sister visits you here, what activities can you do that don't require you to speak each other's language?
Your answer
Student: Let's say you are visiting your host family and you are hungry. How could you communicate with them if you don't speak Spanish? *
Your answer
Parents: As part of the Student Exchange program, participating families are required to host Loreto students during the summer for approximately 7 days in July. Are you willing toparticipate in this program, as a host family? *
Parents: Will your son or daughter be able to host his/her Loreto brother/sister in July without conflict of other activities (Summer School, sports, vacations, etc.)? *
Parent Authorization: I hereby authorize my child to participate in the Hermosa Beach Sister City Association (HBSCA) Student Exchange Program (Hermosa Beach to Loreto Mexico & Loreto Mexico to Hermosa Beach) and will cooperate with the HBSCA by providing all information required to facilitate my child’s visit to Loreto. I understand that further information will be provided by the HBSCA regarding transportation costs and other expenses after this application has been approved for consideration by the HBSCA. Your name AND DATE indicates your authorization: *
Your answer
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