EmailMe Form - Rotary District 7475 STYE Host

Enter your first and last name *

First Last

Enter your email address *

We will use this address only to send you program information.

Enter your preferred phone number *

What town and NJ county do you currently live in? *

Are you a Rotarian? If Yes, which club? *

Please enter No or Yes and Club Name

Which is your preferred week to host? *

Week 1 (7/31 to 8/7)

Week 2 (8/7 to 8/13)

Week 3 (8/13 to 8/18)

We will be making every effort to have host families located as close as possible to student pick-up and drop-off points. Please review the Trip Schedule for information on the target locations by week.

Which gender students do you prefer to host? *

Female

Male

No Preference

We make every effort to meet your requested gender, especially if there are teenagers in the household. Exchange students are always paired by gender.

Do you have high school students or young adults in the home? *

No

Yes - Male

Yes - Female

Yes - Both

Would you be willing to host an adult leader? *

No

Yes - Male

Yes - Female

Yes - No Preference

Would you or an adult member of your household be willing to help chaperone the group bus trips on a given day depending on your availability? *

Yes

No

Have you or any of your family participated in a Rotary Youth Exchange program? *

Yes

No

Do you have dogs or cats? *

No

Yes - Dogs

Yes - Cats

Yes - Both

We need to accommodate for pet allergies when placing students.