Parent/Guardian Form: Italian Exchange
You are being asked to fill out this form because your child has expressed interest in participating in the Italian exchange taking place in February of 2020.

Please be as detailed as possible in your responses so that we can best evaluate your child's eligibility for the trip.  Your responses may also be of great help in matching those students who are selected.  

Please consult:  https://www.newton.k12.ma.us/Page/2807  for more information about the trip. If your question is not answered there, please feel free to e-mail justin_evans@newton.k12.ma.us for additional information.
Email *
Parent/Guardian Name(s) *
Parent/Guardian Address(es) *
Parent/Guardian Secondary Address (if applicable)
Parent/Guardian CELL Phone Number(s) *
Parent/Guardian WORK Phone Number(s) (write n/a if you don't have one!) *
Parent/Guardian HOME Phone Number(s) (write n/a if you don't have one!) *
Parent/Guardian e-mail address(es) *
Does your child follow a particular dietary regime of which his or host family should be aware?  If so, please describe. *
Please provide any additional information you feel is relevant about your family or about the applicant.
Are you committed to hosting an Italian student in September 2020? If your answer is no, please explain your answer.  Please note, because the exchange is designed as a reciprocal commitment, students whose families are unable to host without a compelling reason (e.g. financial limitations) will be at some disadvantage in the selection process. *
What benefits do you hope to derive from hosting as a family? *
What obligations do you sense hosting will impose on you as a family? *
How will you contribute to the exchange? *
Statement of Support
By submitting this form, I acknowledge that I have read the information contained in this application and description of the Exchange Program.  I support the Program’s philosophy, understand the Program’s requirements and, to the best of my knowledge, have provided accurate and complete information.


I support my child's candidacy for the Italian Exchange Program. *
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