Required Forms

The following list contains all the forms that are used throughout the Youth Exchange Process. Use the Catagory Button below to sort the list according to your needs.

Form Description
Certificate of Club Compliance

Categories
Club / YEO / District

The Certification of Club Compliance form is to be submitted yearly and insures that each club will adhere to accepted procedures and practices for Rotary Youth Exchange.

Club Commitment

Categories
Club / YEO / District

The club commitment form is to be submitted each year and confirms onward participation in the YE program. It further defines quantity, gender, etc. for a clubs preference of Inbound Students.

Country Acceptance Form

Categories
Outbound

The Country Acceptance Form is to be completed by a potential Outbound student after s/he is assigned to a country at Winter Orientation.

Criminal Background Check Consent



Categories
Host Family
Club / YEO / District

Criminal Background Checks are done as part of the YEAH vetting process for Host Families or Volunteers.

DOS Host Family Letter

Categories
Host Family

This letter is to be provided to Host Families at the time of the Host Family Orientation.

DOS Regulations

Categories
Host Family
Club / YEO / District

DOS Regulations are to be provided to Host Families

DS 2019 Sample

Categories
Inbound

The DS-2019 is a Homeland Security form and is issued by D-5010 as a record of acceptance into our Year-Long program. The student applies for a US Visa using this form before being allowed to travel to the USA. During the year, the DS-2019 may have to be re-validated by our Alternate Responsible Officer (ARO) if the student travels foreign while part of our program.

Guarantee Form

Categories
Inbound

Use this form as Page Two of your new Inbounds Guarantee Form. The fill-in format allows you to fill in Club, Host Family and School information quickly and in a readable format.

Host Family Application Long Term Form

Categories
Host Family

The Host Family Application is to be completed by each Host Family to determine their suitability for the Youth Exchange program.

Host Family Presentation

Categories
Host Family

This PowerPoint presentation is part of the Host Family Orientation and should be shown to the family by YEO's before a student is placed with the family.

Long Form Application

Categories
Outbound

Long Form Application - Complete with D-5010 Rules

Outbound Study Questions

Categories
Outbound

Outbounds are encouraged to learn about their new host country before their exchange. Experience has showed us that by having answers to various questions before departing makes for a more rewarding experience.

Quarterly Report

Categories
Outbound

Outbounds are required to submit a quarterly report during their exchange year. It should be sent via email to: YEO, Class Counselor, Outbound Coordinator and Area Coordinator.

Referal for Suspected Child Abuse or Neglect

Categories
Inbound

This form is used to document and refer to authorities a case of suspected Child Abuse.

Short Term Application

Categories
Outbound

Clubs/Areas can customize this fillable short-form Application for their own needs as an electronic form. The "More Information" box should include local deadlines and contact information for submission to the local Committee, school official, etc.

Vetting and Screening Youth Exchange Volunteers Checklist

Categories
Host Family
Club / YEO / District

Checklist of requirements for vetting and screening all Youth Exchange Volunteers and Host Famlies, with a description of the YEAH database operation.

Volunteer Application Form (VAF)

Categories
Host Family
Club / YEO / District

The Youth Volunteer Application is to be used by anyone interested in participating in Youth Exchange. It's required for YE Committee Members, individuals in a Host Family (18 years of age or older), Club officers, etc. that have regular contact with students.