ROTARY - a global network of business and professional leaders who volunteer their time and talents to serve their communities and the world.                             ROTARY - a global network of business and professional leaders who volunteer their time and talents to serve their communities and the world.                            ROTARY - a global network of business and professional leaders who volunteer their time and talents to serve their communities and the world.
                           
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Youth Exchange Preliminary Application for Student
Students interested in participating in this program are invited to complete this preliminary application form and lodge it with the Secretary of a Rotary Club before May 1st during the year prior to the exchange, or a date specified by the club to which the application is directed.
To The Secretary Rotary Club of: Select the club
 
I am interested in participating in the Rotary Youth Exchange Program.
My personal details are as follows:
   

Have you applied to any other club?:

Yes No

Your First Name:

Your Last Name:

Street Address:

Suburb:

Postcode:

Your Telephone Number:

Date of Birth:

Age Last Birthday:

School:

Current year level:

Subjects Studied - Please list:

My Future Ambitions are:

My Other interests are:

Country of First Choice:

Why this country?

Second Choice:

Third Choice:

Why do I want to go overseas?:

Date of Application:

Your E-Mail Address:

Please note: - If you email this form it will go to District 9790 Australia -
Other students should print this form and submit it to their nearest Rotary Club
Comments Box:
 
 
 

 
 
 
 
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Special thanks to Tord Elfwendahl of the Stockholm Strand Rotaryklub (Sweden) for
his incredible Rotary graphic images which we have used throughout this web site.

Material on this site is Copyright
Rotary International; Rotary International District 9790 Inc; Tony Ladgrove, Phil MacDonald and Robin Chapple
and may not be reproduced without permission

 
Many images are used for illustration purposes only and do not represent the subject matter
 
Last modified: 26 Mar 2012 21:28