JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
RYE Info Night RSVP Form
Please fill in the information requested and we will send a Zoom link for the desired session date/time.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Full Name of Interested Student
*
Your answer
Student's Contact Email Address and/or Phone #
*
Your answer
Name of Parent(s) or Guardian(s)
*
Your answer
School Name of Interested Student
*
Your answer
Youth's Age as of August 31, 2023
*
13
14
15
16
Other:
I would like to attend the virtual information session on:
*
Monday, August 28
Thursday, September 14
Thursday, September 28
I am also interested in attending one of the in-person application assistance sessions:
Yes - Monday September 25
Yes - Wednesday October 4
Yes - not sure which session at this time
Yes - but neither of those dates work for me
Which Program are You Interested In?
Short-term Exchange
Long-term Exchange
Virtual Exchange
Unsure
Do you have any specific questions you would like us to address at the session(s)?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Rotary Youth Exchange District 5180.
Report Abuse
Forms
