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CISV DC 2020 Leader & Junior Counselor Application
Leader Application Form (Leader and Junior Counselor Applicants only). To be filled in by all persons applying for a position of responsibility in a CISV international Program.
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* Indicates required question
The Program(s) you're applying for: you may apply for more than one program.
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Village Leader
Interchange Leader - Egypt
Youth Meeting Leader
Step Up Leader
Village Junior Counselor Ages: 16-17
Other:
Required
PERSONAL INFORMATION
Please put your legal name as it appears or will appear on your passport.
First Name:
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Your answer
Middle Name:
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Your answer
Last Name:
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Your answer
Home Address
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Full address including city, state and zip code
Your answer
Cell Phone Number:
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Your answer
Email Address
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Your answer
Date of Birth
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MM/DD/YYYY
Your answer
Age
*
Must be 21+ by the time the program begins to lead a village, step up, Interchange or YM. Must be 16-17 to be a Village Junior Counselor.
Your answer
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