Staff, Leader & JC Application

Leader & JC Application Form

Thank you for your interest in CISV! This application should be completed by all persons applying for a position of responsibility, including leaders and JCs, in a CISV international programme and sent to the person responsible for leader selection in the applicant’s home National Association. For international staff positions, this form must be signed first by the person in the applicant’s home NA who is responsible for leader selection and then forwarded by that person to the responsible member of the Host NA.
Program Information
Which CISV program are you applying for? Please select.
Position applying for:
Year applying for:
Personal Information
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Country of Residence
Applicant's E-mail
Applicant's Mobile Phone Number

Area CodePhone Number
Date of Birth of Applicant

MonthDayYear
Gender Identity
How do you self-identify?
Occupation
Employer/Academic Institution (if student)
Educational Background (institution, degree & year):
Nationality
Describe health restrictions and their effects on your daily life. Include food allergies, environmental allergies, chronic illnesses, mental & physical health restrictions, dietary restrictions, and simliar issues that affect your participation.
Are you fully vaccinated against Covid-19?
List of foreign languages spoken and ability (fluent, good, or fair).
In the CISV program, you will need to assist and or assume responsibility for some activities such as music, arts and crafts, games, sports, dance, discussion and swimming. Please list your interests and skills, which could be helpful at the program:
Do you have certification in lifesaving?
Do you have certification in first aid?
Please describe your experience working with people in a leadership role and as part of a team:
Please describe your CISV or other experience with children/youth (of similar age to the specific program participants):
Please describe other experience in CISV, with other intercultural organisations or with other cultures:
Why do you want to be a staff/leader or Junior Counselor?
Upload a photo of the applicant

Browse Files

Cancelof
Reference Information

Two references are required. Please share the CISV Reference Form to your References listed below and ask them to complete the online form: https://form.jotform.com/200563934856159.
Name of Reference #1

First NameLast Name
Reference #1 Phone Number

Area CodePhone Number
Reference #1 Email
example@example.com
Name of Reference #2

First NameLast Name
Reference #2 Phone Number

Area CodePhone Number
Reference #2 Email
example@example.com
Training Acknowledgment
Applicant -- Please certify that: I will participate in all CISV Leadership Training Sessions required by CISV. I will abide by and uphold CISV Guidelines on Behaviour and Cultural Sensitivity (Info File R-7) and will put the delegates’ interests and welfare above my own while attending the programme. I understand that before serving in a staff/leadership position, I must be a member of CISV. I have no criminal convictions or history of mental illness, emotional counselling, violent behaviour, child abuse, drug/alcohol abuse, prejudice etc that would disqualify me from participation in CISV’s international, cross-cultural and peace education programmes. I agree to a police record check if required by CISV. I consent to the personal data in this Application Form being used by CISV to process this application and agree that it may be shared with other people involved in organising the programmes, wherever they may be hosted. All the information on this application is correct and accurate.
Click here to access the CISV R-07 Positive Behaviour Policy.
EXPLANATION FOR STAFF-LEADER APPLICATION FORM

Please see the relevant Program Guide and CISV International policies on selection of persons with Program responsibility Info File R-05 Guidelines on Discrimination, Selection & Behavior.
Data

The personal data provided in this form is confidential and will be kept and eventually destroyed according to the laws of the country holding the data. Staff, leaders and JCs must be members of their local CISV Chapter or National Association or join once they are selected, prior to the Program.
Age Requirements

Staff must be the proper age on the first day of the Program. Leaders and JCs must be the proper age on the day of departure for the Program. Specifically:Junior Counsellors must be 16 or 17 years old. Interchange junior leaders must be at least 18 years old and it is recommended that there be at least four years between the participant age and the age of the junior leader. All adult leaders and staff must be at least 21 years old. At least one member of the staff of every Village, Step Up, Youth Meeting, Seminar Camp and IPP must be at least 25 years old. In Step Up, Village and Youth Meeting, where there are 4 or more adult staff members, there may be 1 junior staff from the hosting NA.Junior staff in a Village must be at least 19 years old. All staff and leaders must receive appropriate orientation and leadership training as specified in CISV International policies and guides.
Health, Legal, and Insurance Requirements

Before attending a CISV International programme, every staff, leader, and participant must have completed any and all forms as required by CISV International. Travel-medical insurance is provided for all participants, staff, and leaders in international programmes (except Mosaic). However, individuals are responsible for obtaining insurance for any personal travel not covered by the CISV International travel-medical insurance. The host NA is responsible for the completion and forwarding to CISV International of any incident reports as required. Anyone may submit a CISV Incident Report Form when appropriate. Every staff, leader, and participant must provide proof of the following vaccinations before attending a CISV International programme - unless it is not available to them or they have a documented medical exemption: Polio, DPT (diphtheria-pertussis-tetanus), measles, and rubella. Proof is at a minimum a correctly filled out and signed Health Form that states the vaccines are current and up to date. Additional travel immunizations specific to certain countries may be required in addition to the routine immunizations.
Background Checks and References

Police checks. Unless local law forbids it, police checks are required for all staff/leaders (aged 18+) at all CISV International Program and activities. International Program staff: Please remember to follow the proper procedure and start the process very early as it will take some time to go through each of the steps. For NAs hosting IPP, Seminar Camp, Step Up, Village or Youth Meeting, in every case, the person responsible for staff selection in the host NA should send a formal inquiry to the home NA of the person they want to invite, asking if they may invite him/her. The home NA might refuse if they feel that they cannot recommend the person as a staff, or that they need the person for a Program at home. If this is the case, the home NA has the final say.· If the home NA agrees, the person in the host NA responsible for staff selection should send an invitation to the invited person with a copy to the home NA. The invitation must contain the Staff-Leader Application Form, two Reference Forms, as well as a clear statement regarding the following: (1) the position (Program Director or ordinary staff member), (2) any financial obligations, travelling conditions, etc., (3) relevant staff education/training, and (4) pre-and post- Program days For all international staff, an applicant for an international staff position for any Program must: (1) fill in a Staff-Leader Application Form and send it to the person in their NA who is responsible for staff selection, (2) ask two referees to complete the official CISV Reference Forms and forward them directly to the person in their NA who is responsible for staff selection. and (3) work with the person in his/her home NA who is responsible for staff selection to arrange for a police check (where possible according to national law) to be carried out and sent to that person for review. The person in the Applicant’s home NA who is responsible for staff selection should:·(1) review the Staff-Leader Application Form, references and police check and if all is satisfactory and the applicant is considered to be a suitable candidate, (2) sign the CISV certification in the Staff-Leader Application Form, (3) forward a copy of the Staff-Leader Application Form and the references (not the police check) to the person in the host NA who is responsible for staff selection, which indicates that the home NA is agreeing that the person may be selected for an international staff position.
International Staff Opportunities

Anyone interested in becoming international staff can check for international Program staff opportunities on www.cisv.org.
CISV Certification (to be signed by the CISV member responsible for staff/leader selection in the home NA of the applicant).

CISV Certification - Sign below if you certify that the above application, references and police checks (where possible according to national law) have been reviewed and found to be satisfactory so that the application is approved. For international staff positions, a copy of this form and references (not police check) should then be forwarded to the person in the relevant host NA responsible for staff selection. The signature tells the host NA that the home NA has followed the correct procedure and considers that the applicant may be selected as international staff.
Signature of CISV member responsible for staff selection
Date of Signature of CISV Member

MonthDayYear
Should be Empty:

Leader & JC Application Form

Program Information

Personal Information

Reference Information

Training Acknowledgment

EXPLANATION FOR STAFF-LEADER APPLICATION FORM

Data

Age Requirements

Health, Legal, and Insurance Requirements

Background Checks and References

International Staff Opportunities

CISV Certification (to be signed by the CISV member responsible for staff/leader selection in the home NA of the applicant).