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Youth Exchange


I’m interested in Youth Exchange!

If you are interested in applying for the Rotary Exchange Scholarship for the 2018-19 academic year, or the Short-Term Family-to-Family exchange for the summer of 2018, please fill out the below form. You will hear back from a committee member in a few days, and you and your parents will be invited to attend an information meeting on September 16

Student Name

Student Email

Student Phone Number



Guardian 1 Name

Guardian 1 Email

Guardian 1 Phone Number

Guardian 2 Name

Guardian 2 Email

Guardian 2 Phone Number

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