Eunice E - Seminole County Public Schools



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SEMINOLE COUNTY

PUBLIC SCHOOLS

Walt Griffin

Superintendent

Educational Support Center

400 E. Lake Mary Boulevard

Sanford, FL. 32773-7127

Minnie Cardona

Director

E.S.O.L.

World Languages

Foreign Exchange Program

407-320-0202

Student’s Name:

County of Citizenship:

___________________

School Grade Date

The above mentioned student has shown proof of:

1. Student sponsored by a reputable foreign exchange agency.

Agency Local Representative Telephone (Home) (Cell)

2. *Written permission from school principal.

*To be obtained by the district office when student folder is near completion.

3. Written documentation of host family interview and selection.

4. Written evidence of English proficiency of the student:

ELTIS Assessment (score must be 232 or higher)

Name of Test Student Score

5. Signed verification of student’s age.

6. Student has not completed requirements of graduation, received a

diploma or degree from high school. Student is not an upcoming senior.

7. Student will be in attendance the school year.

8. Student’s school transcript translated into English with final grades.

9. Florida original HRS 680 form and original physical exam. in English completed in the United States. .

10. Proof of appropriate insurance coverage.

11. J-1 Visa and Birth Certificate: or Passport: .

Minnie Cardona, Director Date

Foreign Exchange Students

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