BRIGHTON SISTER CITIES
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BRIGHTON/ZIEBICE SISTER CITIES EXCHANGE APPLICATION
Contact Information
*
Indicates required field
Name
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First
Last
Email
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Home Phone
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Cell Phone
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Address
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City
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State
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Zip
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Birthday
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Grade
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Current School
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Passport #
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Passport Issue Date
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Family Information
Parent/Guardians Names
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Sibling Names
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Names of students your family has hosted
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Will you & your family commit to hosting?
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Yes
No
About You
Leisure time
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School activities
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Community activities
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Volunteer and/or work
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Musical Instrument
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Athletics: I.E. Running
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Favorite High school classes
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In a paragraph, please address the following questions:
What do you hope to gain from this experience?
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how will you and your family participate in our organization in the next few years?
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Dietary/Health Concerns
Allergies (food and/or medicine)
*
Medical Concerns
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List all medications
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By typing my name I warrant the truthfulness of the information provided in this application.
Electronic Signature
*
Submit
Events
Youth Exchange
Gallery
2019 Exchange
2018 Exchange
2017 Exchange
2015 Exchange
Contact Us