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Document
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Form
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Date
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Notes
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Inbound Student Index
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IB99
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08/14/09
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Printable list of forms below
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Student Forms
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** Inbound Student Tracking
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IB1
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02/15/09
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For District/Club YEO to track student contact throughout the year
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** Copy & Insert Inbound Documents
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IB5
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08/14/09
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District - make copies of these documents for the student file
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** INB Dist Chair App Checklist
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IB9
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02/15/09
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District - keep copy with the student file (comes with the application from the Country Contact)
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** INB Club Chair App Checklist
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IB13
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02/15/09
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District - keep copy with the student file (comes with the application from the Country Contact)
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** INB Electronic Hosting
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IB21
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12/06/09
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Club YEO should send copy to District Chair
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** School Admission Letter
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IB25
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02/15/09
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School letter should accompany the Guarantee Form
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** School Checklist
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IB29
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02/15/09
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Confirmation that school received information
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** Inbound Info Letter
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IB33
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02/15/09
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Student must receive prior to arrival; must document
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** Resource List
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IB37
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02/15/09
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District should complete with at least the local resources and send to student prior to arrival (accompany Info ltr)
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** Inbound Rules
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IB41
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10/30/09
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District should receive signed copies prior to arrival (accompany info ltr)
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** Independent Travel
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YE325
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11/11/09
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District should receive signed copies prior to arrival (accompany info ltr)
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** Student Receipt
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IB45
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02/15/09
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Signed copies returned prior to arrival
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** Student Orientation Record
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YE329
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01/24/10
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Signed confirmation of student orientation
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- Section One: Topics to Discuss
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- CISI Bolduc Information/ To purchase insurance online
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https://webapps.aifs.com/RotaryOnline/Agreement.aspx?agree=N
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- CISI-Bolduc Information Insurance coverage and claim procedures
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http://www.culturalinsurance.com/rotary/rotary_medical_forms.asp
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- Travel Arrangements, Permission, and Requirements - For Outbound Student Only
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- Discuss and Distribute the following:
- Exchange Visitor Program Brochure (SX725)
- ESSEX program brochure/ Contact Carl Hill
- ESSEX Student Protection Policy (SX713)
- ESSEX - Allegation Reporting Gudelines (SX714)
- ESSEX Student Protection Brochure (SX715)
- ESSEX Reporting Flow Chair (SX716)
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- First night questions
to view questions in other lanagues go to
www.rotary.org (search for first night questions)
- Student Monthly report form (YE305)
- Student Post Exchange Evaluation (YE313)
- Metric conversion
www.worldwidemetric.com/metcal.htm
- ID Cards (YE333)
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** ID Card
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YE333
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02/15/09
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Student receives ID card per host family (keep copy)
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** Training Roster
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YE301
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02/15/09
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for use with any training session, ie YEO, counselors, etc
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** Student Monthly Report
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YE305
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02/15/09
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student must submit report for each month of their exchange
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** Host Family Change Form
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IB50
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12/10/09
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Student: Complete and return to District Chair/Inbound Chair immediately upon moving to new host family
District: report to ESSEX Inbound Coordinator with 72 hours of student move
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** Incident - Complaint Report
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YE309
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02/15/09
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for pertinent incidents or complaints that IB students report during their exchange year: send copies as noted on form
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** Post Eval - Student
** Post Evaluation - School
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YE313
IB49
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02/15/09
02/15/09
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student must complete at end of exchange, prior to departure
school representative to complete at the end of the school year
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