Fillable International Programs: Global Education HOMESTAY CHANGE FORM 16 (Spokane Community College)

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International Programs: Global Education HOMESTAY CHANGE FORM 16 (Spokane Community College)

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CCS 40-332 (Rev. 03/19)
Marketing and Public Relations
International Programs: Global Education
HOMESTAY CHANGE FORM – 16 and 17 Year-Olds
Spokane Community College
MS 2151, 1810 N Greene Street
Spokane WA 99217-5399 USA
509-533-4113 FAX: 509-533-3237
Spokane Falls 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:
CTC ID Number:
Current Homestay family:
I request a Homestay transfer:
I would like to see if I can move because
I plan to move out of my current Homestay to:
Return to my home country permanently
Transfer to another college/university in the U.S.
Move in with a relative in Spokane
Required – Parental Consent Form to Waive CCS Homestay, which is signed by your parent
or legal guardian.
The date I plan to move out is:
The date I gave my 30-Day Notice to my host family:
I have notified my parents of my move
I will notify my parent of my move
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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International Programs: Global Education HOMESTAY CHANGE FORM 16 (Spokane Community College)

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Completed 8 October 2020

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