UVF Breakaway Host/Exemption Request (Nov. 14-15)

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University of Valley Forge

1401 Charlestown Road

Phoenixville, PA 19460

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This form serves as a Breakaway Hosting Sign up Sheet. You must complete this form to request a breakaway student OR to be considered for exemption from hosting a student.

*If you choose to host a student this will also serve as the hosting sign up for incentives from Professors. (Attendance at Breakaway training meeting is mandatory to receive incentives)

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Location

University of Valley Forge

1401 Charlestown Road

Phoenixville, PA 19460

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