Standardized Forms

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Youth Exchange Forms & Links

Handbooks

• Rotary International Youth Exchange Handbook
• District 5230 Youth Exchange Handbook

Rotary Clubs

• Club Commitment Form
• Club Compliance Form
• Sample Interview Questions
• Host Family Application
• Host Family Home Inspection Form
• Host Family Interview
• Host Family Reference Check Form
• U.S. Department of State - Exchange Visitors Program Regulations Form
• A Primer for Host Families
• First Night Questions with Family
• RI Student Abuse Reporting Guidelines
• Now They Are Here
• Student Travel Authorization
• Change of Host Family or School Form
• Student Info Change Form
• Student Arrival Notification to District (This form must be filed within 48 hours of student arrival in the United States)
• Youth Volunteer Affidavit - Standard Form for Host Families, Club Youth Exchange Officers and Counselors
• Youth Volunteer Affidavit - Abbreviated Volunteer Affidavit Form for One Time or Short Term Volunteer Service
• Interview Questions for Volunteers
• Volunteer Reference Checks Form
• 2007-2008 Certification Requirements
• WESSEX Database Checklist

Inbound Students

Host Family Change Report

Attention all Students. Please complete the host family report EVERYTIME you move or change schools. CLICK HERE to access the report page.

Optional Year-End Rotary Tours for Inbound Students

Although District 5230 does not sponsor a year-end tour, there are a number of these tours available to Rotary exchange students. All costs for these tours must be paid for by the student, the host Rotary club does NOT have any obligation to support this travel.

Remember that you must first have the permission of your host Rotary Club and the District Youth Exchange Committee, before you participate in any tour.

For more information on tours, please visit Rotary Wessex.

Outbound Students

• Short Form Application

• Program Rules and Conditions of Exchange

Do NOT complete the following forms until you have been officially accepted into the process and told which country you are assigned to!

• Long Form Application

For questions, please contact Melissa Mears at *831)595-9273 or melissamears@hotmail.com

• Bokoff-Kaplan Travel Service

Returned (Rebound) Students

• First Night Questions for Rebounds
• How Have I Changed

Resources for Students and Parents

• Psychology of International Living by Dennis White PhD
• One World...Or Many?
• The Value Americans Live By by Robert Kohls
• So You Think They Are Home Now: Some Thoughts for Parents of Returning Exchange Students
• So You Think You're Home Again: Some Thoughts for Exchange Students Returning "Home"
• Going Home: Some Thoughts For Exchange Students Returning "Home" by Dennis White PhD

The materials on this page were graciously provided by Dr. Dennis White, an active participant and consultant to the Rotary Youth Exchange Program. His efforts to promote world peace and understanding through the cultural exchange process are greatly appreciated and applauded.

Dr. Dennis White is a clinical psychologist, returned Peace Corps Volunteer and Rotarian in District 6220, Sturgeon Bay, Wisconsin, USA. He has worked in many exchange programs dealing with preparation for exchanges, as well as returning home. He is a program consultant to the District 6220 Rotary Youth Exchange Program, as well as to the Central States RYE Program.

He may be reached at:

Clinical & Consulting Psychology
207 S. 4th Avenue,
Sturgeon Bay, WI, 54235 USA
Tel: 920-746-1346
Fax: 920-746-1347
E-mail: DKWHITE@itol.com