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

http://www.youthexchange5130.org/forms/ACIClaimForm.pdf

Youth Exchange Program Application Forms

The forms are available in PDF.

The Short Term Program - A Summer Abroad

Short Term PDF
 

Long Term Youth Exchange Program - A Year Abroad

Long Term Application - Short Form

Long Term Application - Long Form

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.

Optional Trips Applications and Forms

Hawaiian Adventure

Information (Word)

Application (Word)

Application (PDF)

Western Safari Tour

Information (Word)

Application (Word)

Application (PDF)

Contract (Word)

Contract (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)


Back to Top

 

 

 Contact District Chair Sondra Schaub: sondrajschaub@earthlink.net
707-822-7807 Cell 707-616-7790 Fax 707-822-7807
Copyright 2007 - RI District 5130 Youth Exchange Program

Website Maintained by John Necker Sebastopol Sunrise