Lisd Form – Fill Out and Use This PDF

Laredo Independent School District

1714 Houston Street, Laredo, TX 78040

Host Family Application

HOST FAMILY REPRESENTATIVE AND PARENT/LEGAL GUARDIAN MUST

BE PRESENT AT THE CAMPUS WHEN COMPLETING THIS FORM

The Host Family Application must be annually submitted and filed at the campus for proper enrollment and/or continued, uninterrupted educational benefits at Laredo Independent School District. Failure to answer all questions may result in denial of acceptance or loss of educational benefits to the student applicant. A copy of a valid driver’s license or a valid picture identification card of both the HOST and PARENT/LEGAL GUARDIAN along with a copy of a utility bill is required prior to registering.

Please read the Notice of Penalties and acknowledge understanding the applicability of these penalties for providing false information to Laredo Independent School District.

NOTICE OF PENALTIES

Section 25.001 of the Texas Education Code provides that a person who knowingly falsifies information on a District form required for student enrollment may be held liable to the District if the student is not eligible for enrollment, but is enrolled on the basis of false information. A person may be held liable, for the period during which the ineligible student is enrolled, for the greater of (1) the maximum tuition fee the District may charge to transfer students under Section 25.038 of the Texas Education Code; or (2) the amount the District has budgeted for each student as maintenance and operating expenses. Refer to LISD Board Policy FD (Legal). The Laredo Independent School District utilizes Option 2. Individuals who falsify information must reimburse the district $39.00 each day an ineligible student is enrolled. In addition to the civil fees which may be assessed against a person who provides false information, please be advised that Section 37.10 of the Texas Penal Code makes it a crime for a person to knowingly make a false entry on District forms, or if the person makes, presents or uses any record with knowledge of its falsity with intent that it be taken as a genuine governmental record, or if a person makes, presents or uses a governmental record with knowledge of its falsity.

It is the policy of this District to pursue intentional violators of the student admissions law to the fullest permitted by law.

Campus:___________________________ School Year: _____________________

Signature of HOST

LAREDO INDEPENDENT SCHOOL DISTRICT

I certify the following children, whom I am not a legal guardian of, are residing in my house at

______________________________________________________which is in the boundary of:

Address

__________________________________________________________________ ____Campus.

Name of Parent(s): ______________________________________________________________

Previous Address: _______________________________________________________________

I affirm the above child/children/parent(s) reside with me on a permanent, full-time basis.

I further affirm that the student's enrollment is not for the primary purpose of participating in extra-curricular activities.

---------------------------------------------------------------------------------------------------------------------

Witness my hand at ______________________________________________ on this the

__________________________day of _______________________________, 20____________

_____________________________________________________

HOST Family Representative's Signature/Relationship to Student

_____________________________________________________

Parent's/Legal Guardian's Signature

State of __________________________

County of ________________________

Sworn to and subscribed before me this the _______________day of_____________, 20_______

___________________________

Notary Public in and for

_____________________County

______________________________________________________________________________

It is the policy of this District to pursue intentional violators of the student admissions law to the fullest extent permitted by law.