Registration Form for Foreign Exchange Student/International
Students will not be eligible to compete in any activity until cleared by the Activities Director. If you have questions please email ted.schultz@minnetonka.k12.mn.us

1) Please complete the below form in google.


2) Then deliver the following attachments to the student activities office at Minnetonka High School:

a. A copy of student’s birth certificate or passport;
b. A copy of student’s certificate of health insurance issued by a U.S. company;
c. A copy of student’s immigration documents including his/her visa;
d. A copy of the student’s official untranslated transcript;
e. A copy of an English translation and analysis of the student’s transcript(s) by an acceptable agency;
f. A copy of all application forms from the student to the sponsoring agency;
g. A copy of information about the sponsoring agency including, but not limited to, its previous involvement in sponsoring
exchange students;
h. Identification of all criteria used by the sponsoring agency to place the student with the host family;
i. A copy of the student’s identification card from the sponsoring agency; and

Student's name: *
As it appears on the passport
Your answer
Student's permanent address: *
In home country
Your answer
Telephone number in home country:
Your answer
Birth date of student:
MM
/
DD
/
YYYY
Student's Age:
List history of all schools student has attended (US and International) ? *
Please list for each school attended: 1) Name of school 2) City/Country of school 3) Dates of attendance 4) Grades attended
Your answer
Has this student graduated from high school in their host country or completed their terminal grade? *
What is the final grade this student has completed in their host country? *
Student's grade at Minnetonka High School: *
When this student returns to their home country what level of schooling will they continue in? *
Last date student attended secondary/high school in home country: *
MM
/
DD
/
YYYY
Number of semseters of secondary school completed out of total semesters: *
ex... (12/14) (semesters completed/ semesters to graduate)
Your answer
When did student enter the United States? *
MM
/
DD
/
YYYY
Visa Classification: *
Visa validity dates: *
Your answer
The student flight's was paid for by? *
Name of exchange program: *
Your answer
Local exchange program representative monitoring student: *
Please list name of person, phone number, and email address
Your answer
Name of host family: *
Please list names of all family members
Your answer
Address of host family and telephone number of host family: *
Your answer
Did the exchange student have a pre-existing relationship with host family: *
If you answered 'Yes' to the above question please explain the relationship.
Your answer
Please classify your placement to Minnetonka High School: *
Has the student ever... *
Yes
No
Communicated with any coach at MHS prior to placement?
Communicated with a sports agent about athletic participation in the U.S?
Discussed sports participation in the U.S. with any corporate representative?
Been provided housing by a sports team or program?
Received money for participation in any athletic program 
Received payment of education expenses for high school from a sports team
Entered into an agreement with a sports agent (verbally or contractually) 
Completed on a team or against a team where members were being paid to play
Agreed to provide any individuals with money in the future for assistance in the past?
List all organized sports participation in home country
List 1) Sport 2) Year(s) 3) Division/Level 4) Name of Team
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms