Reimbursement Form

Families participating as hosts in Student Ambassador Exchange’s programs should use the following form to apply for reimbursement costs for services or items paid for by the host family. Please consult your Host Family Manual to review items or services ineligible for reimbursement. Families can also contact their Local Coordinator or the SAE main office at for questions regarding reimbursement.

Host Family Reimbursement Request

For amounts paid towards non-covered expenses in either J-1 or F-1 programs (tutoring, shipping costs of luggage, etc.) Please contact the SAE main office or your Local Coordinator if you are unsure about covered vs. non-covered expenses.
  • First and last name of at least one host parent.
  • Please provide a description of item or service purchased AND reason/need for purchase.
  • If you have kept a receipt for services/items, please upload this here. This will help to expedite the approval process for your reimbursement.
  • Please put the exact amount paid for services or items purchased. It is helpful to provide a printed receipt so the SAE main office can confirm costs.
  • Please type your name to confirm that the above information is correct to the best of your knowledge.