Short Term – Register your interest

Please read the important information below before completing the registration form.

Important information for applicants

Registering your Interest means that you are expressing interest in being accepted on the Rotary Short Term Exchange programme (STEP) for Summer 2027.

Registering your Interest does not mean:

That you will be accepted on the programme.
That you will subsequently be accepted on an exchange.

Please confirm that you have read and understand the above points before completing the registration form.

Required field are shown with an asterisk (*)

"*" indicates required fields

X/Twitter

This field is for validation purposes and should be left unchanged.

I have read and understand the above points for the Rotary Short Term Exchange Programme for Summer 2027*

Yes

Tell us where you live*

I live in the UK or Ireland

I live elsewhere

Sorry we are unable to help you

We are sorry but we are unable to help you from the UK. Rotary International imposes strict rules for the Youth Exchange programmes so you must contact Rotary in your own country. To obtain the contact details for your local Rotary Youth Exchange co-ordinator email Rotary head office in the USA at youthexchange@rotary.org giving your name, city and country of residence.

Your Name and Contact Details

Please complete all information requested. It is important we know your address and contact details to enable a member of Rotary in the area you live to be able to contact you. If you do not give us the information asked for then it may not be possible to process your registration of interest.

Name*

Full given name (as appears in passport) Full family name (as appears in passport)

Date of Birth*

Gender*

Male

Female

I am a Citizen of*

Republic of Ireland

Other

Home Address*

Address Town/City County Post Code

Personal Contact Phone Number*

Parent/Home Phone Number

Email*

Enter Email Confirm Email

Have you discussed your registration of interest with your parent/s?.*

Yes

Please enter full name/s of your parents/guardians*

If you live with a single parent leave this box empty

Primary Parent Email address*

The short term programme is a family to family exchange and your family are expected to host your exchange partner, in the same way as you will be hosted in his/her country by his/her family. You must talk to your parent/s and gain support for your registration before you can proceed further.

Name and Address of your School/College

With which country or region would you like to make your exchange

Why do you wish to become a Rotary Youth Exchange Student?

If Rotary cannot place you in your Country of choice, are you prepared to consider other Countries?

Yes

Is there anything else you would like to add?

How did you hear about Rotary Youth Exchange?*

Presentation at School/College/University

A Rotarian recommended it

Search engine

I saw a leaflet/poster

A friend told me about it

Other

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Rotary in Great Britain & Ireland Districts Youth Exchange Association

A multi-district Youth Exchange organisation covering Rotary International Districts 1010-1320.

Rotary in Great Britain & Ireland
Kinwarton Rd, Alcester B49 6PB

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