CISV 2024 Program Interest Survey
Please take a few minutes to fill out this survey about your interest in CISV programs for 2024.
What is your name?
First Name
Last Name
For 2024, what CISV programs are you interested in for Child #1?
FACES local program Age 9-11 (1 to 2 weeks)
Village Age 10-11 (4 week int'l camp abroad or in the USA)
Youth Meeting Delegation Age 12-13 ( 8 or 15 day int'l program)
Step Up age 14 (3 week int'l program)
Step Up age 15 (3 week int'l program)
Intl Village Jr. Counselor Age 16-17 (4 week program)
FACES Jr. Counselor Age 16-17 (1 to 2 week local camp)
Fortnight Age 16-17 (2 week USA national camp)
Seminar Age 16-17 (3 week int'l program)
We are not interested in CISV programs in 2024.
Other
For 2024, what CISV programs are you interested in for Child #2?
FACES local program Age 9-11 (1 to 2 weeks)
Village Age 10-11 (4 week int'l camp abroad or in the USA)
Youth Meeting Delegation Age 12-13 ( 8 or 15 day int'l program)
Step Up age 14 (3 week int'l program)
Step Up age 15 (3 week int'l program)
Intl Village Jr. Counselor Age 16-17 (4 week program)
FACES Jr. Counselor Age 16-17 (1 to 2 week local camp)
Fortnight Age 16-17 (2 week USA national camp)
Seminar Age 16-17 (3 week int'l program)
We are not interested in CISV programs in 2024.
Other
For 2024, what CISV programs are you interested in for Child #3?
FACES local program Age 9-11 (1 to 2 weeks)
Village Age 10-11 (4 week int'l camp abroad or in the USA)
Youth Meeting Delegation Age 12-13 ( 8 or 15 day int'l program)
Step Up age 14 (3 week int'l program)
Step Up age 15 (3 week int'l program)
Intl Village Jr. Counselor Age 16-17 (4 week program)
FACES Jr. Counselor Age 16-17 (1 to 2 week local camp)
Fortnight Age 16-17 (2 week USA national camp)
Seminar Age 16-17 (3 week int'l program)
We are not interested in CISV programs in 2024.
Other
Please check any country where you would NOT send your child?
Argentina
Australasia: Australia, New Zealand
Brazil
Canada
Central Western Europe: Austria, Switzerland, Germany, Belgium, UK, the Netherlands
Colombia
Costa Rica
Czech Republic
East Asia: China, Japan, Korea, Taiwan
Ecuador
Egypt
Guatemala
Honduras
Iceland
India
Israel
Jordan
Mexico
Mongolia
Northern Europe: Sweden, Denmark, Norway, Finland
Peru
Poland
Southeast Asia: Philippines, Thailand, Indonesia, Vietnam, Singapore
Southern Europe: France, Spain, Italy, Portugal
Turkey
If you have a child interested in Step Up, rank the geographic areas available.
Rows
Not Interested
Somewhat Interested
Most Interested
Europe
USA
North America (not USA)
South/Central America
Asia
Australia/New Zealand (winter)
MidEast
Info about Child #1, #2 and #3
Name of Child #1
First Name
Last Name
Date of Birth of Child #1
-
Month
-
Day
Year
Date
Gender of Child #1 (omit if you prefer not to answer)
Male
Female
Name of Child #2
First Name
Last Name
Date of Birth of Child #2
-
Month
-
Day
Year
Date
Gender of Child #2 (omit if you prefer not to answer)
Male
Female
Name of Child #3
First Name
Last Name
Date of Birth of Child #3
-
Month
-
Day
Year
Date
Gender of Child #3 (omit if you prefer not to answer)
Male
Female
What is your phone number?
-
Area Code
Phone Number
What is your email address?
example@example.com
Submit
Should be Empty: