Rotary International District 5170

Youth Service Forms

District Abuse Prevention Policy Appendix A - Youth Service Volunteer Affidavit Appendix B - Request for LiveScan Services Appendix C - District 5170 Allegation Reporting Guidelines Appendix D - Club Youth Services Certification Application Rotary Code of Policies, Section 2.110 Rotary Code of Policies, Section 41.080 Rotary District 5170 Youth Protection Training Requirement Matrix Host Parent/Youth Services Representative Training Session District 5170 Youth Exchange Handbook Appendix 1 - Preliminary Outbound Student Application Appendix 2 - Sample Interview Questions Appendix 3 - Application for a Rotary Long-term Youth Exchange Program Appendix 4 - Sample Questions to Ask Your Host Family Appendix 5 - Youth Exchange Quarterly Report Appendix 6 - Host Family Application Appendix 7 - Application for a Rotary Youth Exchange Short Term Program Appendix 8 - Preliminary Short Term Student Application Change of Student Address Request for DS2019 Certificate Long Term Youth Exchange Evaluation - Student Long Term Youth Exchange Evaluation - Parents Short Term Youth Exchange Evaluation - Student Post Exchange Evaluation - Host Family First Night Questions Additional Forms and Resources Long Term Exchange brochure Short Term Exchange flyer Long Term Exchange flyer Host Family brochure

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