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.
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)
Seminar Camp (Age: 17-18)
Fornight (Age: 16-18)
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