2027 CISV USA Austin Chapter Staff Leader Application Form

Staff-Leader Application Form

To be filled in by all persons applying for a position of responsibility (including staff, leaders, JCs, junior staff, junior leaders) in a CISV international programme and sent to the person responsible for staff/leader selection in the applicant’s home National Association (NA).

Learn more about CISV and CISV USA

1. Personal Information

First name

Last name

Preferred name (If applicable)

Previous names (if applicable)

Street address

Town/City

Area/State/Province

Country

Post Code/Zip Code

Email Address

Mobile Phone (including country code)

Telephone (including country code)

What'sApp (including country code)

Date of birth (Day/Month/Year)

Gender (currently identify as)

Preferred Gender Pronouns

CISV Chapter membership (current or previous, if applicable)

Nationality

Occupation

Employer / academic institution (if a student)

Educational background (degree and year)

2. Position applying for:

Program Staff

Staff members play a vital role in the success of our programs in Austin by supporting logistics, operations, risk management, health and wellbeing, communications and overall program delivery. CISV staff opportunities are ideal for those who enjoy working behind the scenes, solving problems and contributing their unique skills and interests.

CISV Leaders

A CISV program leader acts as a mentor, teacher, buddy and guardian who accompanies and guides a delegation of young participants during international peace education programs in the US or overseas. As a Leader, you fulfill a complex role that helps you develop a set of skills that can be applied to almost anything.

Program Name (if known)

Year

Program Reference Number (if known)

Would the applicant like to be considered for CISV programs that take place in the summer of 2027 only, the winter of 2027 only or both? (Generally, summer programs are more competitive than winter programs so you increase your chances of getting a spot by being open to both summer and winter programs.)

Please list any dates you know you are not available during Summer 2027 (you will have to a chance to provide additional dates during the interview process, but it's helpful to learn about any potential conflicts now):

3. Health Restrictions: Please note any health restrictions and their effects on your daily life

4. Areas of interest and ability

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 etc. Please list your interests and skills which could be helpful at the program

Do you have Certification in First aid? If yes, please provide details about when you gained the certification/qualification/training, through which organisation, and when the certification/qualification/training is valid until:

Do you have Certification in Life Saving? If yes, please provide details about when you gained the certification/qualification/training, through which organization, and when the certification/qualification/training is valid until:

Do you have Certification in Mental Health – professional or trained? If yes, please provide details about when you gained the certification/qualification/training, through which organisation, and when the certification/qualification/training is valid until:

Have you completed Advanced Safeguarding Training with CISV within the last two years? If yes, what date does your certification expire? Please note that Advanced Safeguarding certification is required for this position (may be completed after position is accepted).

5. Please describe your experience in working with people in a leadership role and as part of a team

6. Please list CISV or other experience with children / youth (of similar age to the specific program participants)

7. Please describe your experience in CISV, or with other intercultural organizations or other cultures. Please be specific about any previous staff or leadership programs you've participated in with CISV (role, location, year).

8. Why do you want to be staff/leader/JC this year?

9. References: Two references are required. These references should be provided by individuals who are either a current or recent employer, leaders in other voluntary organizations, or a local community representative in a position of trust and responsibility. One of the references (but not both) may be from a CISV volunteer in a position of trust or responsibility or a board or executive member. Each reference must have known the applicant for at least one year and must not be a family member.

Please send the official CISV Reference Form to your references listed below and ask them to forward the completed forms directly to the person responsible for staff/leader selection in your NA (International applicants) or directly to austin-sanantonio@cisvusa.org

Confidential Reference Form

Reference 1

First name

Last name

Street address

Town/City

Area/State/Province

Country

Post Code/Zip Code

Telephone (including country code)

Mobile Phone (including country code)

Email Address

Reference 2

First name

Last name

Street address

Town/City

Area/State/Province

Country

Post Code/Zip Code

Telephone (including country code)

Mobile Phone (including country code)

Email Address

Proof of Identity: I confirm that I have attached proof of my identity with this application form e.g., passport or driving license:

Yes or No

Proof of Identity: Upload proof of identity (passport or driving license)

10. Applicant -- Self Declaration:

This voluntary self-declaration does not replace the need for criminal reference checks. The information provided in this form will be used to inform the decision about your suitability for a volunteer role in CISV with children. Having a criminal record will not necessarily mean that you cannot volunteer with CISV. The information provided will be assessed alongside other information obtained through the CISV safer recruitment process to determine your suitability for the role. Any information you provide will be treated in the strictest confidence by the recruiting CISV Chapter/National Association and managed in accordance with relevant data protection legislation.

a). Have you ever received a conviction/caution/reprimand or final warning for any criminal offences? If yes, please provide relevant details:

b). Have you ever been known to any local government child welfare/protection authority as being an actual or potential risk to children or adults at risk? If yes, please provide relevant details:

c). Have you ever been the subject of any formal action, disciplinary investigation and/or sanction by any organisation because of concerns about your behaviour, particularly towards children? If yes, please provide relevant details:

d). Have you ever been dismissed for misconduct from any employment or volunteering, in circumstances which may have bearing on your suitability for this role? If yes, please provide relevant details:

11. Applicant -- please certify that:

I will participate in all CISV programme and leadership trainings required by CISV. I will abide by and uphold the CISV Behaviour Policy (InfoFile R-07) and will put the participants’ 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 violent behaviour, child abuse, drug/alcohol abuse, prejudice etc., or physical or mental health issues that would disqualify me from being responsible as a leader or staff 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.

Applicant's signature (note that this application must be signed prior to submission).

(day / month / year)

12. CISV Certification - signed by the CISV member responsible for staff/leader selection in the home NA of the applicant (note that this is not included in the initial application submission).

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.

(day / month / year)

Please print name

Please understand that staff/leader selection and assignment cannot be made until all necessary documentation has been received and reviewed.

EXPLANATION FOR STAFF-LEADER APPLICATION FORM:
Please see the relevant Programme Guide and CISV International policies on selection of persons with programme responsibility Info File R-05 Guidelines on Discrimination, Selection & Behaviour.

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 programme.

Age Requirements
Staff must be the proper age on the first day of the programme. Leaders and JCs must be the proper age on the day of departure for the programme.

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

Police checks
Unless local law forbids it, police checks are required for all staff/leaders (aged 18+) at all CISV International programme and activities.

International programme 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 programme 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:
- the position (Programme Director or ordinary staff member)
- any financial obligations, travelling conditions, etc.
- relevant staff education/training
- pre- and post- programme days

For all international staff
An applicant for an international staff position for any programme must:
• fill in a Staff-Leader Application Form and send it to the person in their NA who is responsible for staff selection
• 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
• 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:
• review the Staff-Leader Application Form, references and police check
• (if all is satisfactory and the applicant is considered to be a suitable candidate) sign the CISV certification at point 11 of the Staff-Leader Application Form
• 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

Anyone interested in becoming international staff can check for international programme staff opportunities on www.cisv.org.

CISV is committed to safeguarding children. These positions entail a position of trust and responsibility, with frequent contact with children. Learn more about our policies for child protection and adult behavior.