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In order for us to get a better idea of who our exchange applicants are, please assist us by completing the Applicant Survey Form below. Having completed ALL fields of the Form, click on the Submit button and you will be transferred to the Application Form download page.
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Applicant Survey Form
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Your Name:
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Your School:
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Your E-mail Address:
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The name of the Rotary Club you have decided to apply through:
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Thanks for providing this information. Please note that we will not release this information to any other body or organisation, and that the data collected is solely for use by the WA Rotary Youth Exchange program in determining patterns and trends in applicant demographics.
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