Before completing this form, please read about exchange ads at http://exchanges.ces.ncsu.edu. Approved ads will be posted within 48 hours of receipt.

The following is information that everyone needs to help determine a potential exchange:

* Indicates a required field.

State: *
County: *
Name of a contact person: *
Email address of contact person: *
Date range to travel (start—end): —
Are you willing to host? *
Date range to host (start—end): —
Number of participants
(minimum number — maximum number): 		*
Ages of participants
(youngest — oldest):		 *
Please describe your group and what you plan to gain from Exchanges: