5. Do you believe the applicant’s parents/legal guardians support his/her wish to spend time abroad? Yes No
Additional comments on applicant’s suitability as an exchange student and cultural ambassador:
RECOMMENDATION
I recommend this student as a future Rotary Youth Exchange student (check one):
Strongly Recommend Recommend No Opinion Do Not Recommend Strongly Do Not Recommend
Name and Title (type or print) Signature (in blue ink) Date (e.g., 01/Jan/2006)
Name of School Address — Street
City State/Province Postal Code Country
Phone Fax E-mail
Participation