Rotary District 7180 Youth Exchange

Host Family Application

The Rotary Youth Exchange Program appreciates your interest in hosting an exchange student, and we are confident that this will be a truly rewarding experience for you.

"Please read our privacy policy before beginning the application process."

The US State Department requires that we obtain the information on this form and conduct background checks on all potential host families. We assure you that the information that we receive will be treated confidentially, and we thank you for your assistance and understanding. Please list the name and contact information for three references, one of which may be Rotarian.