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Rotary District 6110 Youth Exchange

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Les Crider (les.crider@us.army.mil) coordinates our District's Short-Term Exchange Program.

Short-Term Host Family Application Form


to be submitted with your short term outbound student's application by 1 FEBRUARY to your local Rotary club.

The Rotary International Youth Exchange Host Family application is available on line in Adobe Acrobat PDF format. Click HERE to download. The form is to be filled out by the student with their parents. To get any questions answered regarding short term exchanges, or to have a hard copy of the application form mailed to you, contact Les Crider by email at les.crider@us.army.mil.

Click HERE for important instructions about completing your Rotary Short Term Youth Exchange applications.