Youth Exchange

Forms and Applications

Forms For Downloads for Rotary Youth Exchange

Application for Long Term Exchange

Application for Short Term Exchange

Student Counselor Forms

Rotary Club Forms

Host Family Forms

Medical Insurance Forms

Ohio Erie Training Materials

Rotary Youth Exchange Volunteer Form

(Can be completed and saved on computer -  Adobe PDF Format)

Must be filled out by anyone having contact with the student, including counselor, host families, RYE Committee in club. Includes adults living in households of people students will be living with.   Needs to be sent to Inbound Chair.   This form can be kept for use in other years after update.

 


Applications and Outbound Exchange Forms

All Applications for Rotary Youth Exchange Must Be Typed

 

Long Term Rotary Exchange

Information & Forms

 

Preliminary Exchange Application

Fill out this form when you first are interesting in Youth Exchange and email it to Walter Lundstrom

 

Long Term Exchange Application  (Full Form)

Fill out this form if you want to become a long term Rotary Exchange student.  These students stay in their host countries between 9 and 12 months.

 

Yes! We’re interested in hosting a Rotary exchange student.

Please have your prospective host families fill out this form

 

Every prospective Long Term outbound student must include the forms with three prospective host families with their application. This, of course, can be their own family hosting three times (3.5 months each time).  We instituted this rule because our district has to host as many Long Term students as we send.  The more host families, the more inbounds we can host.

 

 

Information, Cost & Restrictions By Country

 This is approximate cost and some requirements which many countries have for incoming exchange students.

 

Country Preference Form

 This is a form in which you can explain in which countries you might desire to be an exchange student. This is never binding and you may finally be placed in countries other than the ones you listed.

 

It's Your World, Travel, Registration Form

 You must fill this out for the designated travel agency. Be very careful to follow all the instructions carefully.

 

Send Completed Long Term Applications signed by sponsoring Rotary Club,

A check for $1500 made out to District 6690 YEP

And Other Forms To:

Walter Lundstrom, 1218 Walnut Street, Westerville OH 43081

2011-2012 Applications can be submitted until November 15, 2010

 

Requirements for Outbound Exchange Students

What Do You Need to Do To Become An Exchange Student

Download in Adobe PDF Format

As an exchange student, you’re job is to be a goodwill ambassador representing Rotary, District 6690, and the US. People here in the US will judge our program on your behavior, and the people you touch overseas will literally get their strongest perception about the US from you (good or bad…). Part of being an effective goodwill ambassador is to be prepared, and because of that, the following learning requirements are mandatory parts of the program.

RESEARCH PAPERS  & REQUIRED GROUNDWORK

*Four research papers and each paper should be 750-1000 words. The purpose of the papers is for you to be prepared for your exchange. Short terms: email to the papers to Kathy Gatterdam kgatterdam@columbuscoal.com. Long terms: email the papers to  Walter Lundstrom WalterLundstrom@gmail.com

 

1. What is Rotary? (Due 1 week before the January RYE weekend)

2. USA, Ohio, and your home town. (Due 1 week before the March weekend)

3. Your host country and city. (Due 1 week before the May RYE weekend)

4. The difference in culture between your home country and host country. This paper takes a lot of research, because you’re looking for the deep cultural differences, not music and food. (Only for long term students. Due 1 week before the July RYE weekend. Email it to Walter Lundstrom). Papers, if acceptable, may be published on the District Web Site.

 

Paper 1-3 are for all out-bounds. Paper 4 is only for long term out-bounds.

 

In addition to the above papers, after you get your country match up, you’ll also need to translate the letter that was in your application to your new host language. Please email it to Kathy (ST) or Walter (LT).

Failing to deliver any of these research papers or the translated letter on time, will jeopardize your exchange and may result in you not being part of the program!

 LANGUAGE LEARNING

When you get your country match, you must also start to learn your host language. There are numerous programs available. Rosetta Stone might be one of the best ones, but that is up to each student to find what works best for you and your budget.

 PRESENTATION TO ROTARY CLUB

After you have been accepted in to the program (after the district interviews) you’ll need to get in touch with your sponsoring Rotary club to setup a time in April / May for you to do a 20 minutes Power Point presentation. I’ll give you more information about that later. Most clubs fill  up their programs quickly, so get in touch with them right away after you are accepted.

 ONE IN 7,000 US HIGH SCHOOL STUDENTS DO THIS. BE THAT ONE

You have started a life changing experience that VERY few people go through. I don’t know the statistics for short term exchanges, but according to a National Geographic study last year, only one US high school student in 7,000 becomes an exchange student! You’re very special!


Short Term Rotary Exchange

Information and Forms

Short Term Exchange Application

Short Term exchanges are between 1 and two months and are family to family exchanges.

Air Preference Form

 

Short Term Country Preference Form

 

Send Completed Short Term Applications signed by sponsoring

Rotary Club& Other Forms and a check for $600

 To:Katherine Gatterdam
2731 E Broad St.

Columbus, OH 43209

614-224-9241
 

Has to arrive on or before November 15, 2010

 


Student Counselor Forms

Student Counselor Handbook

How to be an exchange student counselor

 

Youth Exchange Counselor Form (MS Word Doc)

This must be filled out monthly by the Student's Counselor  (can be electronically) and email to Inbound Chair and District Chair

 

Exchange Student Club Counselor Training Verification Form

This form is to be signed to prove that the club counselor received the proper training.


HOST FAMILY FORMS AND EXPLANATION

You Want To Be A Host Family

A form to help you get more information on being an exchange student.  Download, fill out and send to Walter Lundstrom.

 

Host Family Application

Needs to be filled out & signed by every host family before the student comes to live with you.  Must be sent to Inbound Chair (can be done electronically with the signature page sent manually).

 

Rotary Exchange Volunteer Form

Every adult over the age of 18 must have a background check in the host families form. 

 

Host Family Interview Check List

Must be filled out by the person doing the interview for the host family.  Needs to be sent to the inbound chair.

 

Host Family Reference Check

All references must be called and this form must be signed and sent to the inbound chairman.

 

Host Family Training Verification Form

This form needs to be filled out to show that the host family has been through district training.

 

A Primer for Host Families

What it's like to be a host parent. Basic questions answered about the program.

 

Host Family Orientation

A Power Point presentation of what you need to do to have a great experience as a host family.

 

Video About Being A Host Parent

This Video is from Rotary Youth Exchange District 7770 in South Carolina and it's a great information piece.

Student Sexual Harassment Guidelines Brochure

This is a guide for students to determine whether they have suffered from Sexual abuse or harassment and what they should do, should have have happened.


 

CLUB & DISTRICT  PROGRAM FORMS AND ASSISTANCE

 

Inbound Student Application For Club to Take Exchange Student

This tells you what you need and why.

Host Club and District Student Guarantee (Page 2 to application just above).

 

Club and District Profile 2011

 

Student Counselor Handbook

Explanation of duties of a RYE Counselor and requirements.

 

Forms Needed For A Club Having An Exchange Student

This simplifies the profess, showing all the forms which are needed and required by RI for an exchange student.


Insurance Form Downloads

ACE Policy Accident & Sickness Coverage Description 2010-2011

ACE Policy Accident & Sickness Claim Form 2010-2011

ACE Policy Liability Claim Form 2010-2011


Ohio Erie Training Materials

How to Be Best You Can Be Counselor Training Powerpoint

YE Counselor Training 2010

Outbound Student Recruiting That Works Powerpoint

White-Inbound Syndrome Powerpoint

How to get your clubs involved with YEP