Student Orientation Final Information Form

This confirms that I completed an in person orientation on the signed date below. This orientation was conducted by my Area Representative.

My signature below shows I have received the following materials and/or information.

1)Pan Atlantic Foundation Student Handbook
2)Pan Atlantic Foundation Student Identification Card
3)Contact information for my Regional Director/ Area Representative
4)Pan Atlantic Foundation Contact Information
5)Pan Atlantic Foundation contact information for Responsible Officer and Alternate Officers
6)Insurance Information
7)Information Regarding Sexual Harassment and Sexual Abuse
8)Exchange Visitor Program −Welcome Brochure from U.S. Department of State
9)Pan Atlantic Foundation Program Rules
10)Information on Life and Customs in the United States

I also participated in a pre-departure orientation in my home country prior to leaving for the United States where I received the following:

1) Pan Atlantic Foundation Program Rules
2) U.S. Department of State Regulations for the J1 Secondary School Program
3) A detailed summary of my travel arrangements
4) A copy of the Department's welcome letter to exchange students;
5) Age and language appropriate information on how to identify and report sexual abuse or exploitation;
6) A detailed profile of the host family with whom I will live, stating if this placement is temporary or permanent.
7) A detailed profile of the school and community in which I am placed, including information on whether I am required to pay tuition.
8) Wilberforce Pamphlet
9) My student identification card.

I have provided my email address below and will alert Pan Altantic within 10 calendar days if this information changes while I am on program.

Student name: *

Pan Atlantic Student ID: *

Student Email Address *

Student Phone Number in USA/ Whatsapp Number Do not include country code, - or spaces: *

Name of the person giving you the orientation *

I attended orientation in NYC *

Student signature *

clear

Date +