Travel Request - Rotary District 9660 Youth Exchange

Complete this form before you travel, so your host parents, Club Counsellor, District YEO and the YEP Chair can approve it in time. No sign-in is needed. Once submitted, you will be emailed a link to check the status of your request.

Student Details

Student Name

Student Email

Host Rotary Club

Programme

So the right inbound coordinator is notified for your programme.

Travel Level

Level

Signatures needed rise with the level: Level 1 is host family, Club Counsellor and YEO; Level 2 adds the YEP Chair; Level 3 (domestic Zone 3) adds your natural parents and the Sponsor District YEP Chair; Level 4 (overseas) adds the District Governor as well. Levels 1 to 3 need at least 14 days notice; Level 4 (overseas) needs at least 30 days.

Current Host Family

Current host parents

Host address

Host mobile

Host family email

We email them a link to approve this travel first.

Travel Details

Reason for travel

Travel from

Select a travel level first to see the earliest allowed departure date.

Travel to

Travelling by

If travelling by plane, attach your flight itinerary (email it to youthexchange@rotary9660.org.au).

Returning the same way?

If returning differently, supply details

Travelling alone?

If not alone, the responsible adult

If alone, who sees you off

If alone, who meets you

Where You Are Staying

Name of the person/people you are staying with

Full address where you are staying (incl. state)

If more than one address, email the rest to youthexchange@rotary9660.org.au.

Are they a Rotary family?

Their phone

Working with Children Check details (if they have one)

Supply the WWC check details separately if asked.

Is this a tour (many destinations)?

If a tour, itinerary

Approvers

You can leave the Counsellor and YEO blank. When you submit, we look you up on the Youth Exchange roster using your student email above and fill them in for you. If you know them, or the roster is wrong, type them in yourself: what you type always takes priority.

Club Counsellor Email

Your District YEO

Pick the group your YEO belongs to, or leave it blank to fill it in from your student record.

Declaration

I confirm the details above are accurate and that I have arranged appropriate insurance and emergency contact arrangements for this travel.

Youth Exchange Travel Request