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

In the mid-1960s, Exchange adopted its national "Programs of Service", which brought into greater focus the most pressing issues of the day and allowed local clubs to structure activities according to their specific communities.

Today, three Programs of Service, Americanism, Youth Programs, and Community Service, as well as Exchange’s National Project, the prevention of child abuse, are lenses through which local clubs focus their energy and attention on their community's needs.