During the 1940s, Exchange had organized its club activities around seven areas of service that included: education; agriculture; aviation; citizenship; commerce and industry; federal youth rehabilitation; youth and geriatrics.

In the mid 1960s, Exchange adopted its National Programs of Service. Also known as the four "pillars" of Exchange, the National Programs of Service brought into greater focus the most pressing issues of the day and affords local clubs the ability to structure activities according to their specific community. The programs include: 

Quick Reference Guides to Exchange Service Projects