EmailMeForm
Rotary District 7475
Short Term Youth Exchange to Japan 2026
Student Application Link Request Form
All questions must be answered.
Thank you for your interest in Rotary Youth Exchange.
Enter your first and last name
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First
Last
Enter your personal email address
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We will send the program application link or additional questions to this email address. Please do not use your school email address as those sometimes block outside email.
Enter your current age
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Enter the name of the High School you currently attend
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What town and NJ county do you currently live in?
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Do you have a current US Passport?
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Yes
No
Have you contacted a local Rotary club regarding the Japan Exchange Program? If so, which club?
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If you have not contacted a Rotary club, enter No. If you have contacted a Rotary club, enter Yes and the club name or Yes, but I do not know the name.
