Bandey-Hefler Fellowship Exchange Form for Hosts
Dear Fellow Rotarian and Partner:

Fill out this information sheet so that we may be better able to match you with a couple of similar interests.

It will also be passed along to our British guests to provide them with some information about you, their hosts.

Please complete and return this form as soon as possible (no later than 6/1/18)

We encourage you to provide any additional information on sightseeing places, and suggestions and/or requests for a specific couple you would like to host or anything else helpful to us in making the best possible match-ups.

Questions About the Rotarian
Rotarian Name *
Your answer
Address (include street address, state, zip) *
Your answer
City/town *
Your answer
Email *
Your answer
Home phone number
Your answer
Business phone number
Your answer
Cell phone number(s) *
Your answer
Rotary club *
Your answer
Age *
Your answer
Interests *
Your answer
Rotary history (length of participation in rotary) *
Your answer
Rotarian's occupation (previous occupation if retired) *
Your answer
Biographical information(Rotary projects, organizations, etc.)
Your answer
Children? (names and ages)
Your answer
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