Rotary Youth Exchange Application

The Rotary Club of Midland is happy to reintroduce the Rotary Youth Exchange Program for the 2024-2025 school year. This amazing opportunity for a youth, aged 15-19, is a powerful way to gain global understanding and promote peace. The successful applicant will have the opportunity to live in another country, attend school, learn a new language, discover different cultures and customs and make friendships that last a lifetime.

Considerations prior to completing the application: This is a big commitment and applications should only be completed after a conversation with parents/guardians. Although you will be attending school while on exchange, you will likely not be credited for any academic studies for your year away. This means you will be missing 1 year of school and will graduate one year later.

Watch a speech by Midland’s Stephanie Edmunds upon returning from her Youth Exchange year in 2012.

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Full Name*

First Last

Date of Birth*

Email Address*

Phone Number*

Address*

Street Address Address Line 2 City Province Postal Code

Parent/Guardian Name*

Parent/Guardian Contact Info*

School*

Grade*

Languages Spoken*

Extra Curricular Activities (Hobbies, Sports, Interests etc.)*

Volunteer Involvement*

Previous Travel Experience (alone or with your family?)*

Please tell us why you want to participate in the Rotary Youth Exchange program.*

Name

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