Youth Delegate Reference Form
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.
Email address
Applicant's First & Last Name
Your answer
The youth is applying for: check all that apply
Required
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