The Application Package

District Information

Your district will provide information on what you need to know before starting the application process.

Some districts will require you to attend an information meeting before starting the application process while other districts will hold pre-application phone conversations.


Components of the Application

  • General Student and Family Information
  • Student Letter
  • Parent Letter
  • Photos
  • Club Sponsor Form signed by your local Rotary Club and your local Youth Exchange District Chair
  • Medical History/Examination Form
  • Dental Health/Examination Form
  • Rules and Conditions of Exchange
  • Personal Reference from Teacher or School Administrator
  • Color Copy of Passport or Birth Certificate
  • Copy of School Transcripts
  • Three Host Family Referrals
  • $150 Non-Refundable Application Fee
Sample Application
This is ONLY A SAMPLE and may differ slightly from the new online application. You will complete your application online only.

Good to Know

The entire Rotary Youth Exchange Scholarship application normally takes three to five weeks to complete, so start early!

  • Once you complete Part One of the Rotary Youth Exchange Scholarship application, Part Two will be forwarded to you for completion.
  • Applications are in electronic fillable format and typed versions are preferred.
  • All document uploads must be legible, full page 8.5”x 11” PDFs. Do not upload jpegs.
  • All signatures MUST be in BLUE ink.
  • Only electronically-submitted applications are accepted.
  • If you do not have access to a scanner, we recommend using one of the many free scanner apps available on your smartphone to upload your documents in a legible PDF format.