Select Participants

Selection of candidates for RYLA is very important. A club should complete an interview of each student after they have completed their application. After interviewing and selecting the participants and alternates for your club, fill out the form below. All students must appear on this list.

If you are human, leave this field blank.

Date Submitted *

Club Name * Alliance Alma Arnold Broken Bow Burwell Cambridge Chadron Chadron Interact Chappell Cozad Curtis Gothenburg Gothenburg After Dark Gothenburg Interact Grand Island Noon Grand Island Sunrise Grant Grant Interact Club Hastings Noon Hastings Sunrise Holdrege Imperial Kearney Dawn Kearney Noon Kearney on the Bricks Kearney Interact Club Kearney Rotaract Club Kimball Kimball Interact Club Lexington McCook McCook Interact Club Minden North Platte Noon North Platte Sunrise North Platte Interact Club Ogallala Ogallala Interact Club O'Neill Ord Oxford Rushville Sidney St. Paul St. Paul Interact Club Valentine Valentine Interact Club

Did your Rotary club make presentation to the students at the schools your club wanted to recruit from *

Yes

No

Please let us know why your club did not make a presentation to the schools so we can help provide better support in the future *

(ex. School would not let us in to present; We ran out of time to present; Forgot to present; Didn't feel comfortable presenting, etc.

Please select the date of the first in-school presentation your club made to students promoting students to apply for RYLA? *

Please select the date of the last in-school presentation your club made to students promoting students to apply for RYLA? *

Did your Rotary club members interview each student individually after you received and reviewed the applications of the students online and prior to them being selected? *

Yes

No

Date of the first interivew with students. *

Date of the last interivew with students. *

First Name *

Last Name *

E-mail *

Students You've Interviewed

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

Select One

Selected Alternate Would Not Recommend Cannot Attend

First Name

Last Name

If your club had fewer students apply than you were able to send, what you like to do? *

Our club did not have any unused slots

Our club would like names of other students from other communities to consider sending them

Our club would like to give up our extra slots to another club

Our club does not yet know what we want to do, please contact us again in 1 week to find out decision

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