Many of the forms on this page are "writable" pdf.  This means they can be opened, filled in and saved on your computer for further editing or for e-mailing.  A link to Adobe Reader is below if you need a program to access these forms.

HOST FAMILY

Host Family Application Form

Application required by Rotary and, for US based host families, the State Department.  Must be signed by all family members over 18, and a background check is required for US based host families.

Host Family Manual

Manual with lots of information, suggestions, hints for the host family, with great articles about what to expect and how to deal with the unexpected.

First Night Questions

Link to a web site where questions to be reviewed shortly after the student arrives.  Great ice breaker and helps everyone to understand the rules - written and unwritten.   Can be printed in multiple language pair translations for easy comprehension by student and family.

Document Check List

A handy check list of documents which should be in the possession of the host family, and accompany the student when changing families.

INSURANCE

The following information pertains to the insurance required by District 6990 for Inbound and Outbound students.  Insurance is REQUIRED of all exchange students and CISI - Bolduc is the agency which is to be used unless other insurance is required by a country or District hosting an Outbound.  If Inbound students are required to have a certain insurance from a local insurance company, a CISI Bolduc Plan A policy may be required to participate in District 6990.  The required insurance meets all Rotary guidelines. 

Frequently Asked Questions

This is a link to a page on the CISI Bolduc site with answers to frequently asked insurance questions.

Medical Claim Instructions

This is a link to the CISI Bolduc site with a full explanation on how to file a medical claim, both for Inbounds in District 6990 and our Outbounds around the world.

Medical Claim Form

This will download the required form for medical claims.

Liability Claim Instructions

This is a link to the CISI Bolduc site with a full explanation on how to file a liability claim, both for Inbounds in District 6990 and our Outbounds around the world.

Liability Claim Form

This will download the required form for liability claims.

YOUTH EXCHANGE OFFICERS/COUNSELORS

Host Family Initial

Home Visit Form

Form to be completed after hosting Rotary Club YEO has interviewed prospective host family.

Volunteer Application Form

This must be completed by every person working with exchange youth - YEO, counselor, committee members or individuals anticipated to have significant "unsupervised" contact with exchange students.  Required by Rotary and for US based clubs, the State Department.

Counselor/YEO Monthly Report Form  

** Read instructions below

Rotary required report to be completed each month by the Inbound student's YEO or counselor and forwarded to the District Compliance Officer.  This is a fillable pdf file.

YEO Monthly Report Instructions

Instructions on how to complete the above form.  PLEASE READ!

OUTBOUND STUDENTS

Quarterly Report

Report to be filed with District 6990 Compliance Officer in October, January, April and June.  This is a fillable pdf which can be completed on a computer and e-mailed.

ARTICLES

One World ....or many?

An insightful read for exchange students, families and all involved with the program.  

APPLICATIONS

COMING SOON