Portal - It's Your World

Organization

Organization Select none, if you are not affiliated with Rotary International Youth Exchange

Organization Identifier Your Rotary District Number (i.e. 5010)

Legal Entry Basics

Host Country

Student Information

Person Info

First Name(s) As on Passport

Middle Name(s) As on Passport

Last Name(s) As on Passport

Gender

Date of Birth

Nickname

Pronouns

Residence Address

Address

City

State / Province

Zip / Postal Code

County in State / Province

Mailing Address

Same as above?

Address

City

State / Province

Zip / Postal Code

County in State / Province

Custodial Parent(s) / Legal Guardian Information

Student Lives With

Father / Guardian One Name (first and last)

Mother / Guardian Two Name (first and last)

Father is Deceased OR Unable to be Contacted

Mother is Deceased OR Unable to be Contacted

Emails

Student Email

Father / Guardian One Email

Mother / Guardian Two Email

Phone Numbers

Student Cell

Home Phone

Father / Guardian One Cell

Father / Guardian One Business

Mother / Guardian Two Cell

Mother / Guardian Two Business

Airport Information

Departure Airport - You can change this later Start typing your airport, you must select a value

Return Airport - You can change this later Start typing your airport, you must select a value

Privacy Policy

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Student Registration