J-1 Foreign Exchange Student Application

J-1 Foreign Exchange Student Application - Fall Entry 2026
APPLICANT INFORMATION
Student's Full Name

First NameMiddle NameLast NameSuffix
Date of Birth

MonthDayYear
Gender
Has this student completed high school?
Enrollment Period
Student's e-mail Address
Country of Residency
Country of Citizenship
An English proficiency test is not required for students who were born and reside in the following countries: Australia, Austria, Denmark, Finland, Germany, Greenland, Iceland, Netherlands, New Zealand, Norway, Sweden, Switzerland, United Kingdon, or from English-speaking countries.
English Proficiency Test
English Proficiency Score
Foreign Exchange Organization
Local Representative
Email
example@example.com
Phone Number

Area CodePhone Number
Zoned School
Does the host family intend to seek a Change of School Assignment? See CCSD Regulation 5112 at https://ccsd.net/district/policies-regulations/pdf/5112_R.pdf.
Requested School
Is this student being placed in the home of a single host parent?
Date of natural parent notification of single host parent placement

MonthDayYear
Method of notification
Host Placement Type
Host Parent #1

First NameLast NameSuffix
Phone #1

Area CodePhone Number
Phone #2

Area CodePhone Number
E-mail
Host Parent #2

First NameLast NameSuffix
Phone #1

Area CodePhone Number
Phone #2

Area CodePhone Number
E-mail
Host Parent Physical Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Host Family Mailing Address (if applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this student being placed in a home with another foreign exchange student?
Other student's name
Other student's home country
Other student's home language
Be sure to attach documentation showing that both students and their natural parents have agreed to this double placement. This application will not be approved until this documentation has been submitted.
The following documentation should be attached to this application. Do not submit an application unless you have attached all of the required documentation. You can upload all documents as one single file.
Please attach documentation here

Upload a File

Cancelof
A confirmation receipt of this application will be sent to the e-mail address you provide here:

Confirmation Email
E-mail
Should be Empty:

J-1 Foreign Exchange Student Application - Fall Entry 2026