	How it works
	FAQs
	Latest News
	Preliminary Application
	Blogs
	What is Rotary?

Travel the world and discover yourself through Rotary Youth Exchange Travel the world and discover yourself through Rotary Youth Exchange

Apply now for 2010/2011 - Limited places available

Preliminary Application

PRELIMINARY APPLICATION FORM

If you are interested in applying for a place on our Long Term Exchange programme please complete the online form below. If you wish to apply for a Short Term Exchange or Camp/Tour please go to the relevant pages on the website

If you have a particular country you wish to visit, please read the list of Certified Countries before applying. Not all Rotary Clubs take part in the programme and even the most qualified of students may not necessarily be awarded a place if a sponsor Rotary Club cannot be found.

If you have any questions, check out our FAQ’s

I live in the UK or Ireland

I do not live in the UK or Ireland

Family Name

First Name

Date of Birth:

Day Month Year

Address

City / Town

County

Post Code

Home Tel No.

Mob No.

Retype Email

School Name

School Address

1. Why do you wish to become a Rotary Youth Exchange student?

characters left

2. What are you studying and what are your plans for the future?

characters left

3. Describe any interests outside school or extra curricula school activities

characters left

Please choose 3 countries in order of preference in which you would like to spend your year?

1st Choice	2nd Choice	3rd Choice

4. Please give reasons for your first choice

characters left

If we could not offer you a placement in any country of choice would you still wish to take part in the programme?

Yes

Have you discussed this application with at least one of your parents?

Yes



	© 2009 RIBI Districts Youth Exchange Association