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CISV DC 2023 Staff, 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. Leaders must be 21+
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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
Youth Meeting Leader
Step Up Leader
Village Junior Counselor Ages: 16-17 (IF you are 17, you must be 17 for the duration of the program)
Step Up Staff - Washington DC
Step Up Jr. Staff - Washignton DC
Step Up Director - Washington DC
Other:
Required
PERSONAL INFORMATION
Please put your legal name as it appears or will appear on your passport. Please note that this is very important. Please do not use nicknames. Legal names only.
Legal First Name:
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Your answer
Legal Middle Name: If none put an X.
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Your answer
Legal 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
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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. Junior staff for DC Step Up must be 20 yrs old.
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