Name *

Name

First Name

Last Name

Email Address *

Phone

Phone

Country

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Subject *

Message *

Host or Home State, as applicablePlease Select…AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinois IndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvania Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

I am a(n):

American student preparing to go abroad

American student abroad now

International student in the US now (high school or community college)

Current Community College student

YFU Alumna/us (High School)

YFU Alumna/us (Community College)

Host Parent

Host Sibling

Volunteer

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Other

I participated on a scholarship sponsor by:

Exchange Program year

Host CountryOption OneOption Two

Home CountryOption OneOption Two

I have a blog or video blog from my exchange. Please add URL. http://

My Education/ Career (current track or future plans)

My YFU Story A YFU exchange experience lays the foundation for many terrific stories. Please share one of your stories with us. Write Your Story Here (250-500 words)

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I grant YFU permission to edit and use my submission to promote global education as indicated in the YFU Media Release.

I am *

18+ years of age

Under 18 years of age. (YFU will contact your parents for permission to use your submission)

If under 18 years of age, please fill out the below fields for permission to use your submission, if selected. Natural Parent(s) Name

Natural Parent(s) Email

Thank you!