Check List for the Club Youth Exchange Officers and/or Counselors                                                                                    

To download the form packet for Club Counselors/YEO's please CLICK HERE

To download the Host Family Handbook CLICK HERE

For the Inbound Student.....                                                                                    

                                                                                                                                                      Click the form # to download

	Form	Done
Approvals:  Host Family
Conduct In-home interview with all host family members residing in the home   Complete Host Family Interview Form #HF213                                            - Ensure host family capable of providing nurturing environment                  - Ensure host family financially secure                                                                                   - Confirm not a relative to the IB student            - If suitable, secure the following forms...HF205, HF317, HF209, HF321 -per instructions below	HF213**
Secure Host Family application,  (one per family)           Obtain Personal Information Form from each adult in home (per adult 18+) Check at least two references on each adult either by telephone conversation or having references mailed back to you as the YEO of the Club  (per adult 18+)                        * Of note, list of references can be same for each family member	HF205** HF317** HF209**
Obtain criminal Background check for each family member 18 and over, living in the household as well as any volunteer that will have one on one contact with the exchange student this includes Club Counselors, Club Youth Exchange officer or Rotarian.                                                       Submit Waiver only..... to Patti Smith  District 7430 YPO                                          811 West Fifth Street, Unit 2, Lansdale,  PA  19446	YE321 (per adult)
School:
Help the 1st Host Family register the student for school. Secure, from the school, School Checklist Form # IB29	IB29**
Orientation: Host family
Orientation with all household members residing in the home       Provide Host family with the following:  (Host Family Handbook) - Role of Host Family - Adjusting to a new culture - Role of Host Rotary Club - School requirements - Role of Host Club Counselor - Rules of the Exchange - Role of District Committee Contact - First Night Questions - Student participation in Host Family Activities - Student Protection Policy - Student participation in Rotary Club Activities - Travel Policy - Financial obligations of Host Family,                 Rotary Club and Rotary District -  Rotary Health Insurance &    mandatory Liability insurance - What to do when there is a problem - RYE website - Host Family Tracking Form - Inbound Student Tracking Form   **  District 7430 will hold Host Family Orientations throughout the year - look for invitation to have your Host Families attend or as Club YEO you can orient your family directly	HF217**
Tracking:
Inbound Student Tracking Form - REPORT MONTHLY            - Document visits with Student at least one per month            - Make sure the student receives their monthly allowance Host Family Change Form - must be reported immediately to District when student changes host family   - DON'T FORGET TO GET BACKGROUND CHECKS DONE ON NEW FAMILY PRIOR TO SUDENT PLACEMENT IN THE HOME Host Family Tracking Form -  to document monthly visits - REPORT MONTHLY	IB1**     IB50**   HF201**
Rotary Post-Exchange Evaluation:
Host Family to complete Post-evaluation form Student Post-evaluation form	HF225** YE313**
School Evaluation	IB49**

2010-2011 – District 7430 Youth Exchange Officers

Chair – Elaine Caltabiano-Schneider    wishdesigns@entermail.com

Inbound Coordinators -  Linda & Bill Flederbach  belwarfrnd@aol.com or flederwe@hotmail.com

Youth Protection Officers – Ron and Patti Smith   patti7430essex@comcast.net

** NOTE:    all forms above, except the waiver (HF321) should be kept secure in with the students application documents and copies sent to Linda Flederbach, District 7430 Inbound Coordinator at   belwarfrnd@aol.com marked with the students name and club.