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Single Person Third Reference Form

This form is to be completed by someone other than the Host Family's Area Representative in fulfillment of U.S. Department of State Federal Code 62.25(j)(9): Ensure that a potential single adult host parent without a child in the home undergoes a secondary level review by an organizational representative other than the individual who recruited and selected the applicant.  Such secondary review should include demonstrated evidence of the individuals friends or family who can provide an additional support network for the exchange student and evidence of the individual's ties to his/her community. 
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Pan Atlantic Foundation • 1 Union Street, Suite 202 • Portland, Maine 04101 USA • Tel: 207-871-8622 • Fax: 207-772-4842
  • Home
  • High School in America
    • Host Family >
      • FAQ
      • 24 Hour Support
      • Get Started
    • Area Representative >
      • Why Choose Pan Atlantic?
      • FAQ
      • Training and Support
      • HAVE A SEAT AT THE TABLE-JOIN US TODAY!
    • Student >
      • FAQ
      • Support and Information
      • Get Started - High School in America
      • Get Started - School Choice Program
      • High School Study Abroad >
        • High School Study Abroad Australia >
          • High School Study Abroad Australia Eligibility
          • High School Study Abroad Australia Living and Learning
          • High School Study Abroad Australia Dates, Deadlines and Fees
          • High School Study Abroad Australia Welcome Camp
        • High School Study Abroad Austria >
          • High School Study Abroad Austria Eligibility
          • High School Study Abroad Austria Living and Learning
          • High School Study Abroad Austria Dates, Deadlines and Fees
          • High School Study Abroad Austria Welcome Camp
        • High School Study Abroad France >
          • High School Study Abroad France Eligibility
          • High School Study Abroad France Living and Learning
          • High School Study Abroad France Dates, Deadlines and Fees
          • High School Study Abroad France Welcome Camp
        • High School Study Abroad Germany >
          • High School Study Abroad Germany Eligibility
          • High School Study Abroad Germany Living and Learning
          • High School Study Abroad Germany Dates, Deadlines and Fees
          • High School Study Abroad Germany Summer Language Camp
        • High School Study Abroad Italy >
          • High School Study Abroad Italy Eligibility
          • High School Study Abroad Italy Living and Learning
          • High School Study Abroad Italy Dates, Deadlines and Fees
          • High School Study Abroad Italy Welcome Camp
        • High School Study Abroad Mexico >
          • High School Study Abroad Mexico Eligibility
          • High School Study Abroad Mexico Living and Learning
          • High School Study Abroad Mexico Dates, Deadlines and Fees
        • High School Study Abroad New Zealand >
          • High School Study Abroad New Zealand Eligibility
          • High School Study Abroad New Zealand Living and Learning
          • High School Study Abroad New Zealand Dates, Deadlines and Fees
          • High School Study Abroad New Zealand Welcome Camp
        • High School Study Abroad Spain >
          • High School Study Abroad Spain Eligibility
          • High School Study Abroad Spain Living and Learning
          • High School Study Abroad Spain Dates, Deadlines and Fees
        • Application
    • School >
      • FAQ
  • Scholarships
  • Internships in America
  • About Pan Atlantic
  • Careers
  • Area Representative Toolkit
    • Students
    • Placement >
      • Forms
      • Community Outreach
      • Training and Compliance
    • Supervision >
      • Supervision Report
      • On Program Resources and Support
    • In Community Orientation
    • FLEX Grant Program