Application Button

Components of Your Application 

  • ONLINE Rotary Youth Exchange Long-Term Program Application 
  • Student’s Letter 
  • Parent’s Letter 
  • Photos 
  • Guarantee Form completed and signed by your local Rotary Club and your local Youth Exchange District Chairman 
  • Medical History and Examination form 
  • Dental Health and Examination form 
  • Rules and Conditions of Exchange 
  • Personal Reference from Teacher or School Administrator 
  • Copy of passport or birth certificate 
  • Copy of school transcripts 
  • Three host family referrals
  • $150 non-refundable application fee

For an overview of what information is required to complete the application, click HERE.   Do not print, do not fill out, do not submit this sample form! 

The application deadline is November 1st for the following school year.