Rotary District 5010
Youth Exchange
200 W 34th Ave Box 393
Anchorage, Alaska 99503
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.
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This form is to be used during the years subsequent to the initial Reference Check completion.
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.
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.
The Country Acceptance Form is to be completed by a potential Outbound student after s/he is assigned to a country at Winter Orientation.
The CONSENT TO CRIMINAL BACKGROUND CHECK is to be used by all Volunteers and Host Family members 18 years of age or older.
This letter is to be provided to Host Families at the time of the Host Family Orientation.
DOS Regulations are to be provided to Host Families
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.
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.
The Host Family Application is to be completed by each Host Family to determine their suitability for the Youth Exchange program.
This Physical Inspection Report is to be completed when the YEO visits a potential host family prior to moving an Inbound into the home. It is also used for the Second Inspection to be done by a different committee person within 60 days of the students move-in date.
Standard questions with form to record responses for interviews with potential Host Families.
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.
Outbound Students are obligated to abide by the rules set forth by our District once they are selected and during their exchange year.
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.
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.
This form is used to document and refer to authorities a case of suspected Child Abuse.
Standard questions with form to record responses when checking references of Youth Volunteer Applicants/Host Family Members.
Student Protection Awareness Course
Categories
Host Family
Club / YEO / District
As Volunteers are entered into Wessex an email is generated with a link to the Youth Protection Awareness Course for that individual. After completion, results of this training are auto-updated to the Volunteer file in Wessex. If a reminder needs to be sent to the Volunteer, go to Wessex and on that Volunteers page click the "Send YPA Course Link" button. Another, customized, invitation will be emailed to the volunteer.
Categories
Host Family
Club / YEO / District
Checklist of requirements for vetting and screening all Youth Exchange Volunteers, including complete and annual requirements for YEO's, Host Families, and other Youth Exchange volunteers.
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.
Standard questions with form to record responses for interviews with Youth Volunteer Applicants.
Standard questions with form to record responses when checking references of Youth Volunteer Applicants/Host Family Members.
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