Rotary District 5630 Youth Exchange

Outbound Student Application for 2022-23

Congratulations on your ambition to become a Rotary Youth Exchange student!
As you begin this process, please follow all instructions carefully and completely. .

For questions or help, please e-mail

So ... what now?

If returning here after already starting your application, please click "Log Me In" below.
  • BEFORE YOU BEGIN - Please Read
      By filling this application you will provide information that includes personal data.  It is important to understand how personal  data from this application will be processed, including how it may be used or shared, how it will be protected, how long it will be  retained, and how it can be corrected or removed.  Please read the Rotary Youth Exchange Application Privacy Statement.   Before filling this application, if you have any questions or concerns, please consult your Sponsor District/Multidistrict  instructions or use the provided contact information for any questions about this application.
      Rotary Youth Exchange Application Privacy Statement - CLICK HERE TO READ
If this is your first time here, you will need to create an account so that your application information can be stored and retrieved for you as you work through the steps. Click the "Set Me Up" button below.

Important Notes:       (You may wish to print or copy this page for future reference.)
  • You must be a student in Nebraska, USA.
    • This website serves residents of western Nebraska, including Grand Island, Hastings, St. Paul, Red Cloud, O'Neil and points west (excluding Scottsbluff and Gering).  If you live elsewhere, please exit now and find your local Rotary District website.
  • We currently offer long-term exchanges for a full academic year.  (No Short-Term exchanges.)
  • For convenience, please bookmark this web page.  (You may need to return here several times.)
  • Please use your personal E-mail address.  (Avoid shared E-mail such as a family E-mail address.)
  • After you have created your own password please complete the FIRST PAGE of this application. 
  • On Page 2, skip to the bottom:  "Click here to leave this form and continue another time"
  • Wait for e-mail with further instructions.
    • You will receive an e-mail listing separate application tasks to be completed.
    • You will receive a form with PRELIMINARY APPLICATION QUESTIONS attached to the e-mail
      • Follow instructions for filling and returning this form by e-mail.
    • You will have opportunities for questions with a Rotary Youth Exchange counselor
Questions may be e-mailed to:

If you need assistance, send an e-mail to