YOUTH EXCHANGE PROGRAM 2007 | |||||||
Our District 323 C is known for all the services it provides to the people who are in need but has not been known for there | |||||||
youth exchange programs, so it was more of a challenge for me that i thankfully accepted. | |||||||
I am delighted to announce that I have been successful, in connecting with 17 of the youth, in exchange programs arranged | |||||||
in District 323C this year, I am glad that 9 different participants of our district have participated in different youth exchanges | |||||||
in countries like Switzerland, Japan, Finland Italy and Denmark. | |||||||
It has been a lovely experience to be in contact with different youth exchange chairpersons from around the world. I take | |||||||
this opportunity to thank all the youth exchange chairpersons of different countries for guiding me and accepting participants | |||||||
from our district 323 C. | |||||||
I am also proud to say that this the 1st time participants are going to attend different youth exchange programs directly from | |||||||
the channel of district 323 C, in the past they used to go from other channels like Mumbai or Ahemdabad. | |||||||
I am also delighted to announce the Hosting of Youth Exchange participants for the very 1st time in our district 323 C. We | |||||||
have hosted 8 participants from Italy, Japan And Finland and with all the support that i have got, i am sure it would be a | |||||||
great success in the future too. | |||||||
I would take this opportunity to discuss a little about youth exchange programs. | |||||||
The mission statement of lions clubs International for youth exchange program is " to create & foster a spirit of | |||||||
understanding among the peoples of the world" Youth Exchange program provides a forum in which barrier of language and | |||||||
culture are overcome to facilitate exchange of opinions among members of this diverse group and it also provides valuable | |||||||
experience for participants to discuss issues from global prospective. The program promotes International mutual | |||||||
understanding. | |||||||
Few Objectives of youth Exchange programs are | |||||||
1. To bring young people of different countries into meaningful contact with each other. | |||||||
2. To permit the sharing of ideas & Cultural viewpoint. | |||||||
3. To promote International understanding and goodwill. | |||||||
4. To develop Leadership potentials. | |||||||
5. To encourage respect in young people for the thinking of others | |||||||
These are the major objectives of youth exchange programs and keeping in mind all these objectives we have planned to | |||||||
host youth exchange participants. I am trying hard to make it successful and with all the support i have, As this year it was | |||||||
a success, it will surly lead the for coming years and we have create History for the 1st time in district 323 C. | |||||||
Lastly i would say that this is just the starting and i have seen potential Youth exchange chairpersons in our district, who | |||||||
would later make our district proud. I would again thank our district Governor for giving me this golden opportunity | |||||||
FOLLOWING ARE LIST LIST OF YOUTH PARTICIPATED IN YOUTH EXCHANGE PROGRAM | |||||||
9 YOUTHS PARTICIPATED IN VARIOUS COUNTRIES YOUTH PROGRAM | |||||||
MONTH | DATE | NAME | GENDER | AGE | COUNTRY | CAMP | |
Jun-07 | 24 | HANSHUMAN TUTEJA | MALE | 20 | ITALY | 2 WEEKS | |
Jun-07 | 30 | DIPESH MIRANI | MALE | 21 | ITALY | 2 WEEKS | |
JULY | 2 | ANSHU AGRAWAL | FEMALE | 21 | ITALY | 2 WEEKS | |
JULY | 4 | SWAPNIL JAGGI | MALE | 20 | ITALY | 3 WEEKS | |
JULY | 6 | VIKAL SONI | MALE | 20 | SWITZERLAND | 2 WEEKS | |
JULY | 6 | RUBIN MEHTA | MALE | 21 | SWITZERLAND | 2 WEEKS | |
JULY | 7 | HEENA SHUKLA | MALE | 18 | DENMARK | 2 WEEKS | |
JULY | 7 | SUNAINA AWASTHY | MALE | 18 | DENMARK | 2 WEEKS | |
JULY | 7 | NEERAJ MANJAR | MALE | 21 | DENMARK | 3 WEEKS | |
8 YOUTHS PARTICIPATED IN INDIAN PROGRAM FROM VARIOUS COUNTRIES | |||||||
JULY | 15 | SILJA SUNI IRMELI | FEMALE | 18 | FINLAND | 1 WEEK | |
JULY | 15 | NUMMENPAA MICHELA | FEMALE | 19 | FINLAND | 1 WEEK | |
JULY | 15 | FREDRIKSSON MALIN | FEMALE | 18 | FINLAND | 1 WEEK | |
JULY | 15 | VIERTIO AARO | MALE | 19 | FINLAND | 1 WEEK | |
JULY | 15 | ANTILA ANNU | FEMALE | 18 | FINLAND | 1 WEEK | |
JULY | 30 | ERICA DI GEOGIS | FEMALE | 18 | ITALY | 1 WEEK | |
JULY | 30 | MICHELA | FEMALE | 18 | ITALY | 1 WEEK | |
JULY | 30 | YUSKEY NAKAHARA | MALE | 20 | JAPAN | 1 WEEK | |
YOUTH CAME IN INDIA HAVE VISITED MANY FAMOUS PLACES IN INDIA LIKE:- | |||||||
MUMBAI | GATE WAY OF INDIA,ELEPHANTA CAVES,SIDHIVINAYAK | ||||||
ESSEL WORLD,FILM CITY,WATER PARK,NARIMAN POINT | |||||||
JUHU CHOPATI,MARIN DRIVE,HOTEL TAJ,HAJI ALI | |||||||
HIRANANDANI,VICTORIA TERMINUS,FLORA FOUNTAIN | |||||||
KANHERI CAVE,MUSEUM,CLOCK TOWER | |||||||
RAIPUR | DUDADHARI MATH,SWARG LOK,ANCIENT BUILDINGS | ||||||
SHYAM NAGAR GURU DWARA,NANDANVAN,MUSEUM | |||||||
INDEPENDENCE DAY PARADE,GANGREL DAM | |||||||
SPORTS - HORSE RIDING,SWIMMING,CRICKET,TENNIS | |||||||
BHILAI STEEL PLANT(LONGEST RAILWAY TRACK MADE) | |||||||
SNOOKER,POOL,TABLE TENNIS | |||||||
NEW HORIZON DENTAL COLLEGE,ST VINCENT PALLOTIE | |||||||
BHORAMDEV | 1 OF THE OLDEST TEMPLE YEAR 1089 LIKE KHJURAHO | ||||||
MANDWA MAHAL YEAR 1349 | |||||||
CHARKI MAHAL YEAR 1400 | |||||||
CHAMPARAN | RELIGIOUS PLACE FOR GUJARATI'S | ||||||
BIRTH PLACE OF VALABHA CHARYA FOLLOWER OF | |||||||
LORD KRISHNA | |||||||
DONGARGARH | FAMOUS TEMPLE OF GODESS BAMLESHWARI | ||||||
SIRPUR | 1 OF THE TWO TEMPLE OF LORD LAKSHMAN IN THE UNIVERSE | ||||||
OLDEST TEMPLE | |||||||
AMARKANTAK | HOLI TEMPLE OF LORD SHANKAR | ||||||
INTIAL/STARTING POINT OF NARMADA RIVER | |||||||
KANHA KISLI | WILD LIFE CENTURY | ||||||
JAGDALPUR | CHITRAKUT WATER FALL | ||||||
1 OF THE BROADEST WATER FALL IN INDIA | |||||||
KUTUMBSAR CAVE | |||||||
ADVENTUROUS SITE | |||||||
CALCUTTA | BIRLA TEMPLE,FAMOUS BIGEST ZOO,METRO RAIL | ||||||
VICTORIA MEMORIAL,AQUATICA,SHAHID MINAR, | |||||||
BIGEST MUSEUM IN ASIA,PARESH NATH JAIN TEMPLE | |||||||
ENJOYED WITH LEOS IN TYPICAL HORSE BAGGI | |||||||
SCIENCE CITY,ENERGY EDUCATIONPARK,HAWRA BRIDGE | |||||||
AGRA | TAJ MAHAL, 7 WONDERS OF THE WORLD | ||||||
LAL KILA IN AGRA | |||||||
DELHI | LAL KILA,THE INDIA GATE,LOTUS TEMPLE,BAHAI PRAYER HALL | ||||||
AKSHAR DHAM,1 OF THE FAMOUS/BIGEST TEMPLE IN THE WORLD | |||||||
OF LORD SWAMINARYAN | |||||||
THE FORT,QUTAB MINAR,JANTAR MANTAR, | |||||||
RASHTRA PATI BHAWAN,JUMA MAJID,SAMSAD BHAWAN |
LOGO
Sunday, September 16, 2007
YOUTH EXCHANGE PROGRAM
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CAPITAL CITY OF CHHATISGARH
LIONS CLUB YOUTH EXCHANGE
FINLAND
ITALIAN IN INDIA
ITALY
FUN
ITALY
DISTRICT GOVERNOR
CHINMOY DAVARA
PARTICIPATION FORM
Lions Youth Exchange Visitor Application
Please attach:
1) applicant’s recent passport photograph
2) photograph of the applicant’s family
3) applicant’s introduction letter to hist family
4) an indemnity agreement
5) Email this form to LION CHINMOY DAVARA,Youth Exchange Chairman,"dashingchinmoy@yahoo.co.in"
Forward three copies of this application to the YE chairman. The chairman will send the application to the
appropriate district/multiple district. All information on this form should be printed or typewritten.
I. To be Completed by the Applicant
A. Personal Information
Name__________________________________________________________________________________________________
Date of birth ___________________________________________ n Male n Female
Address _______________________________________________________________________________________________
City _____________________________________________ State ________________________________________________
Country __________________________________________ Postal Code___________________________________________
Telephone ______________________________Fax _______________________________E-Mail________________________
How will the exchange be financed? Be specific. ________________________________________________________________
_______________________________________________________________________________________________________
Do you reside in a: n rural area n small city n large city
Have you ever traveled abroad? n yes n no Where? _________________________________________
Have you ever participated in YE before? n yes n no
What is your primary language? _____________________________________________________________________________
Other languages spoken ___________________________________________________________________________________
What school do you attend? ________________________________________________________________________
Field of study ____________________________________________________________________________________________
Are you a Leo club member? n yes n no Do you smoke? n yes n no
Health condition _______________________________________________________ (a doctor’s certificate may be required.)
Health/dietary requirements? _______________________________________________________________________________
Hobbies/interests/sports ___________________________________________________________________________________
Religion (optional) ________________________________________________________________________________________
B. Destination preferences
1st ___________________________________2nd ________________________________3rd __________________________
n rural area n small city n large city n no preference
preferred dates of exchange: from _________________________________to ________________________________________
C. Agreement to Terms of Program
I agree to abide by the policies of the Lions Youth Exchange Program. I understand that unauthorized extended personal travel or
leaves of absences during the program are prohibited and that my participation is not for tourism, formal education or employment.
I will not operate a motor vehicle during my stay in the hist country. Any serious violation of the program’s policies on my part can,
at the discretion of the hist Lions officer, result in the immediate termination of my visit at my expense.
Signature ____________________________________________________________Date ______________________________
II. To Be Completed by Parents/Guardian
A. Father’s Name _________________________________________Occupation________________________________________
Address ________________________________________________________________________________________________
City _____________________________________________ State ________________________________________________
Country __________________________________________ Postal Code___________________________________________
Telephone ______________________________Fax _______________________________E-Mail________________________
Lions club member? n yes n no
B. Mother’s Name ________________________________________Occupation________________________________________
Address ________________________________________________________________________________________________
City _____________________________________________ State ________________________________________________
Country __________________________________________ Postal Code___________________________________________
Telephone ______________________________Fax _______________________________E-Mail________________________
Lions club member? n yes n no
C. Siblings? Names, ages ___________________________________________________________________________________
D. Applicant must obtain traveler ’s insurance for the duration of the exchange covering medical care, property loss, trip cancellation
and repatriation.
Traveler’s insurance: Company name______________________________________________________________________
Policy Number_______________________________________________________________________
Telephone __________________________________________________________________________
Address ____________________________________________________________________________
E. Emergency Medical Treatment Authorization
In case of emergency, I authorize Lions YE officials or the host family to provide my child with any necessary medical treatment prescribed
by a doctor. I understand that any expenses not covered by insurance for such medical treatment will be my responsibility.
Parent or guardian’s signature ___________________________________________________Date _______________________
F Indemnity Agreement (to be attached to application)
The applicant’s parents/guardian must sign a statement releasing any Lions club member and Lions Clubs International from liability.
The sponsor Lions should have this statement prepared by a local attorney.
_______________________________________________________________________________________________________
III. Endorsements
A. Sponsoring Lions Club
Club name_____________________________________________ District ___________________________________________
City _______________________________ State/province ___________________________Country ______________________
How was the applicant selected? ____________________________________________________________________________
I have met the applicant and his/her parents. They are fully informed of the program’s policies. I certify that the applicant is qualified
to participate in the Lions Youth Exchange Program.
Club president’s name _____________________________________________Telephone_______________________________
Signature _______________________________________________________Date ___________________________________
B. Sponsoring District Youth Exchange Chairman
I have reviewed this application and give it my endorsement.
Name _______________________________________________________________District_____________________________
Signature ____________________________________________________________Date ______________________________
Address ________________________________________________________________________________________________
Telephone ______________________________ Fax ______________________________ E-Mail_______________________
YE-1401 1,500 1/99
Please attach:
1) applicant’s recent passport photograph
2) photograph of the applicant’s family
3) applicant’s introduction letter to hist family
4) an indemnity agreement
5) Email this form to LION CHINMOY DAVARA,Youth Exchange Chairman,"dashingchinmoy@yahoo.co.in"
Forward three copies of this application to the YE chairman. The chairman will send the application to the
appropriate district/multiple district. All information on this form should be printed or typewritten.
I. To be Completed by the Applicant
A. Personal Information
Name__________________________________________________________________________________________________
Date of birth ___________________________________________ n Male n Female
Address _______________________________________________________________________________________________
City _____________________________________________ State ________________________________________________
Country __________________________________________ Postal Code___________________________________________
Telephone ______________________________Fax _______________________________E-Mail________________________
How will the exchange be financed? Be specific. ________________________________________________________________
_______________________________________________________________________________________________________
Do you reside in a: n rural area n small city n large city
Have you ever traveled abroad? n yes n no Where? _________________________________________
Have you ever participated in YE before? n yes n no
What is your primary language? _____________________________________________________________________________
Other languages spoken ___________________________________________________________________________________
What school do you attend? ________________________________________________________________________
Field of study ____________________________________________________________________________________________
Are you a Leo club member? n yes n no Do you smoke? n yes n no
Health condition _______________________________________________________ (a doctor’s certificate may be required.)
Health/dietary requirements? _______________________________________________________________________________
Hobbies/interests/sports ___________________________________________________________________________________
Religion (optional) ________________________________________________________________________________________
B. Destination preferences
1st ___________________________________2nd ________________________________3rd __________________________
n rural area n small city n large city n no preference
preferred dates of exchange: from _________________________________to ________________________________________
C. Agreement to Terms of Program
I agree to abide by the policies of the Lions Youth Exchange Program. I understand that unauthorized extended personal travel or
leaves of absences during the program are prohibited and that my participation is not for tourism, formal education or employment.
I will not operate a motor vehicle during my stay in the hist country. Any serious violation of the program’s policies on my part can,
at the discretion of the hist Lions officer, result in the immediate termination of my visit at my expense.
Signature ____________________________________________________________Date ______________________________
II. To Be Completed by Parents/Guardian
A. Father’s Name _________________________________________Occupation________________________________________
Address ________________________________________________________________________________________________
City _____________________________________________ State ________________________________________________
Country __________________________________________ Postal Code___________________________________________
Telephone ______________________________Fax _______________________________E-Mail________________________
Lions club member? n yes n no
B. Mother’s Name ________________________________________Occupation________________________________________
Address ________________________________________________________________________________________________
City _____________________________________________ State ________________________________________________
Country __________________________________________ Postal Code___________________________________________
Telephone ______________________________Fax _______________________________E-Mail________________________
Lions club member? n yes n no
C. Siblings? Names, ages ___________________________________________________________________________________
D. Applicant must obtain traveler ’s insurance for the duration of the exchange covering medical care, property loss, trip cancellation
and repatriation.
Traveler’s insurance: Company name______________________________________________________________________
Policy Number_______________________________________________________________________
Telephone __________________________________________________________________________
Address ____________________________________________________________________________
E. Emergency Medical Treatment Authorization
In case of emergency, I authorize Lions YE officials or the host family to provide my child with any necessary medical treatment prescribed
by a doctor. I understand that any expenses not covered by insurance for such medical treatment will be my responsibility.
Parent or guardian’s signature ___________________________________________________Date _______________________
F Indemnity Agreement (to be attached to application)
The applicant’s parents/guardian must sign a statement releasing any Lions club member and Lions Clubs International from liability.
The sponsor Lions should have this statement prepared by a local attorney.
_______________________________________________________________________________________________________
III. Endorsements
A. Sponsoring Lions Club
Club name_____________________________________________ District ___________________________________________
City _______________________________ State/province ___________________________Country ______________________
How was the applicant selected? ____________________________________________________________________________
I have met the applicant and his/her parents. They are fully informed of the program’s policies. I certify that the applicant is qualified
to participate in the Lions Youth Exchange Program.
Club president’s name _____________________________________________Telephone_______________________________
Signature _______________________________________________________Date ___________________________________
B. Sponsoring District Youth Exchange Chairman
I have reviewed this application and give it my endorsement.
Name _______________________________________________________________District_____________________________
Signature ____________________________________________________________Date ______________________________
Address ________________________________________________________________________________________________
Telephone ______________________________ Fax ______________________________ E-Mail_______________________
YE-1401 1,500 1/99
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