CHANGE OF PLACEMENT FORM
For every move/change of student placement, please complete this form and fax it to the national office (and national student advisor, if applicable), prior to the student's moving, or immediately thereafter. Please have the student take his/her student application packet along to the new family (and school, if school changes).
 
Your Name
 *
E-Mail
 *
Date
Student's Name
Country
Date of Move/Change
Reason for Move/Change
"Temporary" Host Family (pending move into another/permanent family)
Permanent Placement (previous host was only Welcome or Temporary Family)
More Suitable Host Family (student was main reason for the move)
More Appropriate Host Family (host family was main reason for the move)
Other (please specify)
"Old" Information
Host Family Name
Street Address
City
State
Zip
Phone
School Name
School Address
School City
School State
School Zip
School Contact
School Phone
"New" Information
Host Family Name
Street Address
City
State
Zip
Phone
School Name
 If new school, please send new school acceptance form.
School Address
School City
School State
School Zip
School Contact
School Phone
The following documents should be attached, or forwarded as soon as possible:  
• Host Family Application
• Visit Form
• Three (3) Recommendations   
• Three (3) Photos
New Airport (if changed)
"Nacel Open Door" Information
State Coordinator Name
Local Representative Name
Local Representative ID Number
Local Representative Phone
 
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