Country Request Form

CHOICE OF COUNTRY FORM-STEP YEAR 2018
Dear Rotary Exchange Student Applicant:
We are pleased that you have applied for the Student Exchange Program. It is an excellent program and we believe
it will provide a rewarding experience for you and your family.
We exchange with many countries for the short term program. The counties are listed below.
Most of our exchanges occur in the northern hemisphere as the “school summer breaks” are similar however if you
exchange with a southern hemisphere country the exchange can be broken up in two parts as their “school summer
breaks” are opposite of ours. Please get your full applications to your Youth Exchange Officer as soon as possible
as the choice of country is awarded as they are received by the STEP Coordinator. Although there is no guarantee
that we will be able to arrange an exchange with a country of your choice, we will not place you in any other
country without first receiving your permission.
It is extremely important that we know if you are willing to have an exchange match made with either a male or
female student. Please indicate by marking the appropriate box below.
Confirmed Countries with Exchanges Available:
Austria
Colombia*
Finland
Belgium
Denmark
France
Brazil
Ecuador
Germany
Chile *
England
Hungary
1.
2.
3.
4.
5.
6.
India *
Slovakia
Italy
Spain
Mexico
Taiwan
Netherlands
Turkey
*Possible exchange – not confirmed
7.
I will accept an exchange match who is _____ Female Only, _____ Male Only, _____ Either Gender
You will have a better chance of finding a matching student if you are open to Either Gender, rather than restricting
a match to a specific gender.
NAME OF STUDENT
SIGNATURE OF APPLICANT
DATE
SIGNATURE OF PARENT/GUARDIAN
Rev June 2017