COWBOY COUNTRY ROTARY YOUTH EXCHANGE
ROTARY INTERNATIONAL DISTRICT 5440
Long-Term Youth Exchange

Emergency Services & Contacts -- 2017-2018

To be provided to student upon his/her arrival in the country

Student Name: / Club:
Club Counselor:
Name (day phone) (mobile phone)
Club Youth Exchange Officer:
Name (day phone) (mobile phone)
Club President:
Name (day phone) (mobile phone)
Country Representative
Name (day phone) (mobile phone)
Two Local Non-Rotarian Contacts: (school counselor, coach or principal, police officer, etc.)
Name (1):
Name (day phone) (evening phone)
Name (2):
Name (day phone) (evening phone)
Cowboy Country Rotary Youth Exchange – District 5440
Long-Term Program – Crisis Management Team
Beth VanDeWege – Committee Chair, Outbound Chair - 307-630-2441,
Terry Collins – Inbound Chair – 307-254-3914
Julie Yates – Committee Member – 970-219-9163 Cell,

Emergency: 911

Local Police Department: ______

U.S. Department of State: 1-866-283-9090/

Rotary International: 1-847-866-3000 www.rotary.org

Cowboy Country Youth Exchange: www.rotary5440.org

General Resources: (please complete with the inclusion of local resources)

Problem / National
Or Local / Agency
Name / Contact
Number / Information
A.I.D.S. / National / NSTD / 1-800-227-8922 or for Spanish
1-800-344-7432 / Information on sexually transmitted diseases
Alcohol-
Drugs / National / National Youth Crisis
Hotline / 1-800-442-4673 / Help with drugs, alcohol, sexual
Assault (rape), depression,
homelessness
Local
Eating
Disorders / National / ANAD-National Assoc. of Anorexia Nervosa &
Associated Disorders / 1-847-831-3438
(long distance)
Local
Family Violence / National / National Domestic
Violence / 1-800-799-7233 / Spanish speaking counselors on duty
Local
Rape / National / RAINN (National Rape
Crisis Hotline) / 1-800-656-4673
Local
Suicide / National / Covenant House Hotline / 1-800-999-9999
Local
Local Rotary Safe House – families who have cleared background checks and have agreed to offer student safe haven in the event of an emergency:
Family (1):
Name(s) (day phone) (mobile phone)
Family (2):
Name(s) (day phone) (mobile phone)

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