CISV Atlanta - 2016 Program Interest & YM Host Committee Volunteers
Hi everyone, we need to start collecting information about interest for programs next year and planning for our upcoming(2016) Youth Meeting. Since we do a' football pool' at our National Board Meeting-- October 16 -18, 2015-- we need to have a very clear idea of who is interested in what programs so we can bid well on programs we have high interest in participation from our membership. Please take a few minutes to fill out this form. For more info on the program details visit http://atlanta.cisvusa.org Thanks for your help!

Our 2016 Youth Meeting program Saturday, June 26 – Sunday, July 10 (15 days) will everyone to help make it run smoothly and be an amazing program. Many hands makes for light work. and we can't do it without you :)

Email address *
1. What is YOUR first and last name? *
e.g. Doris Allen
Your answer
2. What is YOUR email address? *
Your answer
3. In 2016, we are hosting a Youth Meeting for 16-18 year olds here in Atlanta. Are YOU interested in being Home Staff (this is not to be confused with being a Host Family) for our Youth Meeting? (must be 21 or over) *
Sat, 06/25/2016 – Sat, 07/9/2016 (15 days) / Contact YM Co-Planners - Erin Bernstein (erin.e.bernstein@gmail.com) or Tiffany Blake-Anttonen (BlakeAnttonen@gmail.com) for further info
4. For which 2016 Youth Meeting Host Committee positions can you volunteer? Many of these will be a group of people so you will have help! *
YOU MAY CHOOSE MORE THAN ONE / Contact YM Co-Planners - Erin Bernstein (erin.e.bernstein@gmail.com) or Tiffany Blake-Anttonen (BlakeAnttonen@gmail.com) for further info
Required
5. Are YOU interested in applying for a 2016 program (participant or adult leader)? *
6. Do you have a CHILD/CHILDREN interested in applying for a 2016 program? *
please choose YES or NO
7. If you answered yes to question #5, please provide us with YOUR DATE OF BIRTH.
e.g. 00/00/0000 (month/date/year)
Your answer
8. If you answered YES to question #5, which programs are YOU interested in for next year?
you may choose more than one
9. If you answered yes to question #6, please provide us with the FIRST and LAST NAME of your interested CHILD #1.
e.g. Rusty Allen
Your answer
10. If you answered yes to question #6, please provide us with the DATE OF BIRTH of your interested CHILD #1.
e.g. 00/00/0000 (month/date/year)
Your answer
11. Which programs are you interested in for CHILD #1?
you may choose more than one
12. If you answered yes to question #6, please provide us with the FIRST and LAST NAME of your interested CHILD #2.
e.g. Rusty Allen
Your answer
13. If you answered yes to question #6, please provide us with the DATE OF BIRTH of your interested CHILD #2.
e.g. 00/00/0000 (month/date/year)
Your answer
14. Which programs are you interested in for CHILD #2?
you may choose more than one
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