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 Mike Davis
Director of Youth Exchange (Chair)
315-246-7091 (cell)
315-568-4996 (H)
Rick Blevins
Vice-Chair
585-271-3424
FAX 585-588-6123
ROTEX Chair
607-562-3566
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ROTARY INTERNATIONAL
D7120 Youth Exchange Program
2007-2008 Long-Term Exchange
20 Outbound/29 Inbound
Long-Term Program is again CSIET-approved for 2008-2009
Will your club host a student in 2008-2009?
From where? Boy/girl/either?
 Statement of Intent
Click Country Exchanges to see countries we exchange with & officers in charge.
D7120 Youth Exchange Brochure
D7120 Youth Exchange Program Booklet
Planning to visit Canada with your Exchange Student? Check this site (Countries whose citizens require visas to visit/transit Canada) first - some students need Canadian visas (called temporary resident visas or TRVs)- and always make sure your student has both his/her passport and the DS-2019 and I-94 forms. Here's a direct link to the Canadian Immigration Visitor Services site also where you can find an application for the TRV
You may need/want to visit the ( Consulate General of Canada - Buffalo office ) for quicker service rather than handling by mail
If the student is a minor you will also need a letter of authorization from the parents
see info here
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Ellen Hughes
Student Protection Officer
315-539-3674(H)
FAX 315-539-1536
Mark Wyse
Director of Youth Services
Summer/Short-Term Exchange Chair
315-524-7561 (H)
585-739-4486(W)
Secretary & Webmaster
585-889-4406(H)
eFAX 508-462-7976
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Inbound Information
Tips for visas (US State Department )
SEVIS/DS-2019 (visa form)
607-562-3501,
FAX 607-562-3711
CSIET 607-292-6808
FAX also
D7120 Inbound Rules Form
NYS Immunization Requirements and Form--updated Aug 2006
Flat Fee for Inbounds to D7120 consists simply of insurance fees.
See Insurance Page.
D7120 Travel Permission Form
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Outbound Information
Download site for Outbound Applications
(Adobe Acrobat reader files--link to free software download also available)
There are interactive forms available so you can complete much of the form on-line
Also includes Youth Exchange Information brochures from Rotary International
US State Department Site --Travel Alerts & Services
D7120 Quarterly Report Form
D7120 Outbound Student Reimbursement Form
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Club Assistance
D7120 Host Interview and Home Inspection Form
D7120 Host Family Affidavit
D7120 Youth Volunteer Affidavit
Emergency Contact List (rev for 07-08)
Club Counselor Role
Counselor Twice/Month Log
Club YEO role
Club Compliance Checklist
Procedural Checklist for Inbounds
Student Protection Policy Materials --D7120
First Night Questions
English side-by-side with a choice of many different languages
YEO Resources
all kinds of materials put together through USA-Canada Network of Youth Exchange Officers
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