SH Common Exchange Application

School Information

Provide information for the school you are currently attending.

Name of School

School Website

School Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Coordinator First & Last Name

First Last

Coordinator Email Address

Coordinator Phone Number

Dates of Current Academic Year at your School

Nearest Airport

Student Information

Student Name

First Last

Date of Birth

Grade

Total Years at Sacred Heart School

Mobile Phone

Home Phone

Email Address

Religious Affiliation

Health, allergy or dietary information

Are you a boarder at your school?

Yes

No

Family Information

Parent/Guardians' Marital Status:

If divorced, where do you plan to host your exchange student?

For the purposes of the program, it’s important that your guest not change homes every week.

Parent/Guardian #1 Information

First Last

Parent/Guardian #2 Information

First Last

Occupation

Parent/Guardian #1 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian #2 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian #1 Mobile Number

Parent/Guardian #2 Mobile Number

Parent/Guardian #1 Email Address

Parent/Guardian #2 Email Address

Siblings (Name, Age)

Pets (Name, Kind of Animal)

Emergency Contact

First Last

Relationship to student

Mobile Phone Number

Home Phone Number

Home Address

Exchange Information

Please discuss these details with your family before submitting the application.

Rank 5 schools/countries that you would like to visit

Your exchange coordinator will do their best to find a match in one of those schools but it is not guaranteed.

How do you feel about boarding if your exchange student is a boarder?

Details about preferred length and timing of visit:

When can you host a student in your home?

If you cannot host, please see your exchange coordinator to discuss options.

Is there any time you absolutely cannot host?

Questions for Student

Please be as detailed as possible to allow us to find the best match for you! Remember, these answers are also your first impression for your host family.

Why do you want to be a Sacred Heart exchange student?

Please frame your answer within the Education principles, 5 goals, values, philosophy…

What do you hope to gain from your participation in the exchange program?

What personal qualities will help you while traveling and also while hosting?

What relevant experience have you had to prepare you for your participation in the exchange program?

Travel, contributions to your school community, etc.

What do you do after school? What do you do on the weekend? What are your hobbies?

What responsibilities do you have at home? Have you ever held a job? If so, describe briefly.

You will be inviting an exchange student into your home to become part of your family. Please describe your parent(s)/guardian(s), siblings, and anyone else who lives at home with you.

What will you do to make your exchange student feel welcomed both at home and at school?

Describe your school, school day routine, lunch time, boarding school if you are a boarder, subjects your study, how much homework you do each day.

What are your favorite academic subjects? Do you have an idea of your career choice?

What mode of transportation do you use to get to and from school?

What do you expect will be the biggest challenge for you as an exchange student? If you are matched as an exchange student, how will you participate in the school community and home life of your host family?

Recommendations

Please list two faculty or staff members who know you well and can provide a recommendation for your participation on the exchange program. Please have a conversation with this person before listing their names.

1. Name

Relationship

2. Name

Relationship

Letter to Sacred Heart Exchange Student

Please write a personal letter to your future exchange student. Please do your best to compose this letter in the language spoken at your host school.

Attach your letter

Accepted file types: pdf, doc, docx, Max. file size: 50 MB.

Questions About Family

Describe your home, neighborhood and community.

Please describe the living/sleeping arrangement for the exchange student.

Does your family eat meals together? How often?

What is the arrangement for your lunch during the school day?

Will one or both parents/guardians be home during the entire stay of the exchange student?

If both parents/guardians are away overnight, who will be the responsible adult staying in the home? If this is currently unknown, please ensure you have identified someone prior to hosting.

Is your home a smoke-free environment? If no, please explain how you will welcome a student who is not allowed to smoke.

Does your family attend mass on Sundays or another religious service?

Do you have a curfew for your child? Weekday? Weekend?

Do you have rules/limitations for technology use in your home? Please explain.

Are there other rules of the house of which the exchange student should be aware?

Do you participate in any family trips during the time the exchange student would be living with you?

Parent/Guardian Questions Regarding Student

Please describe your child.

Please give us an idea of your child’s personality and characteristics, so that we can find the best exchange match for your child.

What do you expect will be your child's greatest challenge during their participation in the Sacred Heart International Exchange Program?

Please write here what you think is important to consider for your exchange (diet restriction, prescription medicines, allergy, or anything else you would like to mention).