Exchange Student Request Form

Exchange Student Request Form

For Washtenaw International Families wanting to host an exchange student
International Exchange Student Eligibility & Enrollment Guidelines

Washtenaw International welcomes international exchange students entering grades 9–11 who are participating through an approved third-party exchange agency and will be residing with a family currently enrolled at Washtenaw International High School (WIHI) or Washtenaw International Middle Academy (WIMA).

Please review the following guidelines before submitting your request:
- Exchange Agency & Visa Requirements: Students must be sponsored by an approved third-party exchange agency. Washtenaw International does not sponsor or provide J-1 or other student visas.
- Host Family Requirements: Exchange students must reside with their approved Washtenaw International host family throughout their enrollment. If a student is unable to remain with their original host family, they will be required to withdraw from our program. Washteanw International does not arrange or provide alternative host families.
- Application Review: All requests will be reviewed by school administration and the Enrollment Manager. Decisions will be based on the school's Academic Policy, Code of Conduct, available enrollment space, and other applicable requirements.
- Enrollment Approval: Submission of this form does not guarantee acceptance or approval to attend WIHI.
Review & Next Steps
Once this form is submitted, school administration and the Enrollment Manager will review the request and coordinate with the exchange agency, host family, and appropriate school staff to determine eligibility and ensure all enrollment requirements can be met.

Families will be notified once a decision has been made. Please do not consider enrollment approved until official confirmation has been provided by Washtenaw International.
Washtenaw International Family Information

Family wanting to host an exchange student
Parent/Guardian Name:

First NameLast Name
Email
example@example.com
Additional Parent/Guardian Name:

First NameLast Name
Additional Parent/Guardian Email
example@example.com
Student Name - Attending WIMA or WIHI

First NameLast Name
Grade Level of Student
Exchange Student Information

Students must be under the age of 18 and eligible to be placed as a rising 9-11 grader
Admissions Year Request
Student's Legal Name

First NameLast Name
Current Grade Level
We can not accept or place students in grade levels above 11th grade due to the IB curriculum requirements.
Student's Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Residing Country
Student Packet/Profile

Browse Files

Cancelof
Grade Report

Browse Files

Cancelof
Discipline & Attendance Report

Browse Files
From the past two years Cancelof
Agency Information:
Name of Exchange Agency
Name of Agent:

First NameLast Name
Email of Agent:
example@example.com
International Exchange Student Host Family Agreement & Acknowledgment
By signing below, I acknowledge that I have read, understand, and agree to the following policies and requirements regarding international exchange student enrollment at Washtenaw International High School (WIHI).
- Student Eligibility: I understand that Washtenaw International considers international exchange students entering grades 9–11 who are participating through an approved third-party exchange agency and residing with a family enrolled at Washtenaw International.
- Exchange Agency & Visa Requirements: I understand that the exchange student must be sponsored by an approved third-party exchange agency. Washtenaw International does not sponsor, issue, or arrange J-1 or other student visas.
- Host Family Requirements: I understand that the exchange student must reside with our family throughout their enrollment at WIHI. If the student is unable to remain with our family for any reason, the student will be required to withdraw from WIHI. I understand that WIHI does not coordinate or provide alternative host families.
- Enrollment Review & Approval: I understand that all exchange student requests are subject to review by school administration and the Enrollment Manager. Decisions will be based on WIHI's Academic Policy, Code of Conduct, available enrollment space, and other applicable enrollment requirements.
- Academic Credit & Graduation Requirements: I understand that participation in Washtenaw International's exchange student program does not guarantee the awarding of academic credit toward graduation or the issuance of a high school diploma. Any academic credit awarded is subject to review and approval in accordance with applicable school policies and graduation requirements.
- No Guarantee of Enrollment: I understand that submitting an exchange student request does not guarantee acceptance or approval to attend WIHI. The student may not begin attending until official enrollment approval has been provided.
- Communication & Coordination: I understand that Washtenaw International will work with the exchange agency, our family, and appropriate school staff to review the request and determine whether all enrollment requirements can be met. Our family will be notified once a decision has been made.
Host Family Acknowledgment
By signing this agreement, I confirm that I have reviewed and understand the requirements outlined above. I acknowledge that approval is at the discretion of Washtenaw International administration and agree to comply with all applicable school policies and enrollment requirements if our exchange student is approved.
Signature
Should be Empty:

Exchange Student Request Form

Washtenaw International Family Information

Exchange Student Information

Agency Information:

International Exchange Student Host Family Agreement & Acknowledgment