SBLI Student Cultural Exchange Group

Through the Saipan Business Language Institute (SBLI), a group of 90 students from Japan will be on Saipan from November 9 14, 2011 to learn and experience Saipans local lifestyle, culture, custom and language. During their stay, they will be engaged in many activities including visiting our Manamko Center, American Memorial Park Museum, a local school, Managaha Island and staying with a local family. Hosting an exchange student will surely be a rewarding and an educational experience for all family members. Because of technology (computers, internet, cell phones, etc.) local families are able to keep in better contact with the child they hosted and continue to build a closer relationship. This is precisely what a Student Cultural Exchange Program creates: long lasting relationships. As we continue to pray for the speedy recovery of Japan and the families of victims of the devastating earthquake and tsunami, let us welcome these children into our homes for two (2) nights and show them our island hospitality. Taking a tour down to Marpi, Mount Tapochao, Santa Lourdes or simply having the island style BBQ with family and friends are just some of the many ways host families can make a students experience special and memorable. In appreciation of your hospitality, SBLI will be giving a monetary gift of $140.00 ($35/student per night) to each family for hosting two (2) students. The schedule is as follows: Friday, November 11, 2011- 4:00 PM- Pick up students @ Grand Hotel Saturday, November 12, 2011- Students spend all day with host family Sunday, November 13, 2011- 9:00 AM- Drop students back to Grand Hotel 6:00 PM- Farewell BBQ dinner @Grand Hotel w/students & host families

If you would like to host two (2) exchange students, please fill out the Host Family Application Form and drop off to the Saipan Mayors Office in Afetna. Should you have any questions or need additional information, please contact me at 234-6208 or via email at vseman.mos@gmail.com. Arigato! Vinycia M. Seman Executive Secretary/ Youth Coordinator

Office of the Mayor

Municipality of Saipan Tel.: 670-234-6208 Fax: 234-1190

Host Family Application Form

Hafa Adai! Thank you for your interest in hosting exchange students from Japan. We are confident that this will be a very rewarding experience for you and your family. Please fill out the Host Family Application form and return it to our office or via fax at 234-1190 or email at vseman.mos@gmail.com. One of our staff will be contacting you shortly. Thank you!

Information we receive will be kept confidential, unless otherwise required by law. HOST PARENTS INFORMATION Full Name of Host Father (HF) Full Name of Host Mother (HM) HF Employer HF Occupation/Position HF E-mail Address Level of Japanese: ( ) Beginner; ( ) Intermediate ( ) Professional
HF Business Phone No. HF Cell Phone No.

HM Employer HM Occupation/ Position HM E-mail Address Level of Japanese: ( ) Beginner; ( ) Intermediate ( ) Professional
HM Business Phone No. HM Cell Phone No.

HF Date of Birth

HF Country of Birth Mailing Address:

HM Date of Birth

HM Country of Birth

Physical Address (Village & Street Name) HOME Tel. No. Other Contact No.

SAIPAN, MP 96950

OTHER FAMILY MEMBERS & RESIDENTS INFORMATION

Names of all children and any other persons living in your home Sex Age Grade/ Occupation Relationship

1 2 3 4 5 6 7 8

KSKK 32nd Annual Summer Student Cultural Exchange Program Sanpo-En 33rd Annual Summer Student Cultural Exchange Program Itoda Group- 1st Annual Student Cultural Exchange Program SBLI 8th Annual Student Cultural Exchange Program
Please indicate Exchange Program applying for (you may apply for more than one) [ ] KSKK July 25- August 1, 2011 (1 week homestay) Ages 9-12 Number of Students able to host: [ ] Sanpo-En August 1-3, 2011 (2 nights) Ages 15-17 Preference [ ] Itoda Group August 21-28, 2011 (1 week homestay) Ages 11-13

[ X ]
*SBLI Student Exchange November 11-13, 2011 Pick up Fri, 4:30 PM, Return Sun, 9 AM Ages 15-17

2 students [ ] 3 students [ ]

Male Female

[ ] [ ]

Will you be able to sponsor a Chaperon? If so, please select your preference (1) Male [ ] (1) Female [ ] Doesnt matter [ ]

*SBLI Exchange will compensate family $35/student per night. Required to host (2) students. Total= $140.00 for 2 nights.
Do you know of any other families that may be interested to host students? If so, please list their contact information.

_____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ During the exchange: Please provide a safe and welcoming environment for trust and friendship to develop between the student(s) and your family. Support and make the student feel like part of the family, with the same privileges and obligations. Gently encourage the student to learn and adopt most of the ways of your household. Ensure the student knows how to contact family members, friends and other support networks. Teach the student about the local culture and learn about the students culture as well. Exercise supervisory and parental responsibility to ensure students well being. Voice any concerns and questions regarding the student to the accompanying Chaperon or Mayors Office, including serious homesickness, difficulty adapting or illness.
At least one host parent shall sign below on behalf of the entire household. Your signature below verifies that the information included in the host family application is accurate and complete as of the date of this signing. The undersigned acknowledges that the Office of the Mayor of Saipan may request or conduct background checks of the undersigneds family, including records of government authorities. By signing below, I hereby acknowledge that I that the information provided herein is true and correct to the best of my ability.

_______________________________________________ Host Parent Print Name/ Signature

____________________________________ Date

Please sketch a map showing directions to your residence.