Fillable HOMESTAY CHANGE FORM 18+ Year-Olds (Spokane Community College)

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HOMESTAY CHANGE FORM 18+ Year-Olds (Spokane Community College)

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CCS 40-333 (Rev. 03/19)
Marketing and Public Relations
International Programs: Global Education
HOMESTAY CHANGE FORM – 18+ Year-Olds
Spokane Falls Community College Spokane Community College
MS 3011, 3410 W Fort George Wright Drive
Spokane WA 99224-5288 USA
509-533-4113 FAX: 509-533-3237
Email: InternationalHomestay@ccs.spokane.edu
Student Name:
Student Date of Birth:
Cell phone:
Student CTC ID Number:
Email:
Current Host Family:
I request a Homestay transfer to a new host family:
I request a “Shared Homestay” location (where I will cook/feed myself) instead of Full Homestay
I would like to see if I can move to a different host family because
I plan to move out of the Homestay Program to:
Move to an apartment/rental situation or live with relatives
Return to my home country permanently
Transfer to another college/university in the U.S.
The date I plan to move out is:
The date I gave 30-day notice to my host family was:
Reminder: you must fill out a Change of Address form with the Global Education office after moving
to a new address.
Student signature
Date
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HOMESTAY CHANGE FORM 18+ Year-Olds (Spokane Community College)

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Completed 8 October 2020

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