Student Exchange Survey & Consent Form

2-DAY STUDENT EXCHANGE PROGRAM (INDIA)

PROGRAM HIGHLIGHTS

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SECTION A: STUDENT INFORMATION

Full Name *

Age *

Class *

School Name / Institution *

Location *

SECTION B: MOTIVATION & EXPECTATIONS

Why do you want to join this exchange?

Academic exposure Cultural immersion Networking opportunities Personal growth

Any concerns (travel, food, language, finances)?

SECTION C: CONSENT AGREEMENT

I, [Student Name], hereby consent to participate in the 2-day student exchange program organized by [Institution Name].

I understand the program details and agree to participate. * I consent to participate in all academic and cultural activities. * I agree to follow institutional rules, safety guidelines, and code of conduct. * I allow my feedback to be used for program evaluation and improvement. *

Signature (Type Full Legal Name) *

Date *

Your safety, learning, and growth are our priority.

Thank you for being a part of this enriching journey!

Submissions are securely processed and dispatched to program directors.

Cultural Immersion & Exchange

SECTION A: STUDENT INFORMATION

SECTION B: MOTIVATION & EXPECTATIONS

SECTION C: CONSENT AGREEMENT

Your safety, learning, and growth are our priority.