Exchange Student Expression Of Interest

Please complete this form if you are interested in participating in a long term or short term Rotary Youth Exchange. This form should be completed by the student.

Please note that applications for long term exchange departing in January 2024 are closing on 5 May 2023. If you would like to apply for the long term exchange program in 2024, please complete the full APPLICATION FORM PART A rather than this expression of interest. Please direct any enquiries about this 2024 program to rotaryyep9640@gmail.com

If you are interested in short term exchange (3 months) or long term in 2025 or beyond, please complete this expression of interest form.

Contact Name*
Email*
Phone*
Your Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Are You An Australian Citizen?*
School Name*
Current School Year*
Date of Birth*
MM slash DD slash YYYY
What type of exchange are you interested in?*
When do you want to go on exchange?*
What countries do you want to go to and why?*
Are you open to going to a different country?*
How did you hear about Rotary Youth Exchange?*
Have you participated in any other Rotary programs? Please provide details.
Why are you interested in becoming a Rotary Youth Exchange Student?*
Message/Questions

Information

Host Families

Resources

Student Portal

Rotarian Portal

Contact us

Southern Star Rotex Club

Exchange Student Expression Of Interest

You’re invited
to an information evening....

Visit us on Facebook or sign up to our Newsletter..

Follow Us.

Exchange Student Expression Of Interest

You’re invited to an information evening....

Visit us on Facebook or sign up to our Newsletter..

Follow Us.

You’re invited
to an information evening....