Long Term Student Registration Page (over 10 1/2 months)

1: New Student Registration

2: Create Username and Password

If you are on the Short-Term Program (less than 120 days), please click here for your application.

District Number in USA or Canada

Host Country Information

select

Passport Information

select

Student Information

select
RadDatePicker
Open the calendar popup.
select

Custodial Parent(s) / Legal Guardian Information

Father is Deceased OR Unable to be Contacted
select
Mother is Deceased OR Unable to be Contacted

Email Addresses

Phone Numbers

Please enter AT LEAST one phone number so that your IYWT Agent may contact you directly.

Airport Information

Please specify which airport you would like to DEPART FROM / RETURN TO for your exchange. You will have the opportunity to make any changes BEFORE departing on your exchange. The arrival airport is determined by Rotary in your host country.