Rotary District 5130 Youth Exchange

Youth Exchange
Rotary District 5130
For the Counties of
Sonoma, Napa, Mendocino, Lake, Humboldt and Del Norte
California, USA

 
Untitled Document

Quarterly Report

The form is available on the WWW and in both WORD and PDF.

On The Web (Recommended)

In Word

In PDF

 

Youth Exchange Program Insurance Forms

 

Youth Exchange Program Application Forms

The forms are available in PDF.

The Short Term Program - A Summer Abroad

Short Term Information Flyer

Short Term Pre-Application 

Short Term Full Application (PDF)

Long Term Programs - A Year Abroad

Rules and Conditions of Exchange

Long Term Application - Short Form

Long Term Application - Long Form

Outbound Student and Counselor Contract & Checklist (Word)

Outbound Student and Counselor Contract & Checklist (PDF)



You are welcome to download the long term application form (long format) in its entirety. However, if a Rotary Club hasn't yet selected you, do not fill out the form. If you have any questions, please contact the Youth Exchange District Committee Member nearest you.

 

District 5130 Gift Pin Order Form

In Word

In PDF

 

Sexual Abuse and Harrassment Information

Youth Exchange Program Abuse and Harassment
Prevention Policy for District 5130 (Word)

Youth Exchange Program Abuse and Harassment
Prevention Policy for District 5130 (PDF)

Youth Service Volunteer Affidavit (Word)

Youth Service Volunteer Affidavit (PDF)

Frequently Asked Questions (Word)

Frequently Asked Questions (PDF)

Live Scan Application (PDF)

 

 


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Contact District Chair Glenda Sales: ye5130@sonic.net
707-545-4127(h) 707/544-0472 x14(wk) 707-486-6773(Cell)
Copyright 2010 - RI District 5130 Youth Exchange Program.............
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Madison Design
Website Maintained by John Necker