2020 Youth Delegate Reference Form

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The following reference is for a youth applying for a CISV Washington DC program. If selected, the youth applicant will represent both the United States and his/her own area in an international setting. The local CISV USA Chapter requests your help in identifying applicants who exhibit leadership qualities and can represent their own culture successfully.

Applicant's First & Last Name *

The youth is applying for: check all that apply *

Village (Age: 11)

Youth Meeting - Delegation (Age: 12-13)

Interchange (Age: 12-13)

Step Up (Age: 14-15)

Youth Meeting - Individual (Age: 16-18)

Fornight (Age: 16-18)

Other:

Required

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