Where Should We Go in 2023?

Interested in an international summer adventure? Want to make friends around the world?

Fill this out and let us know!!

Learn more at a CISV “101” Info Session which are listed here.

2023 CISV Program Interest Survey

This form seeks info on CISV international, local and virtual programs for summer 2023.

"*" indicates required fields

Which CISV programs are you interested in for Child #1?

Faces local program (2 week overnight camp for youth currently in 5th grade)Village (4 week int'l camp for kids born in 2012)Youth Meeting (8 or 15 day int'l camp for kids born in 2010 or 2011)Interchange (4 wk reciprocal family exchange - youth spend 2 wks in Jax & 2 wks in other country- for kids born in 2008 or 2009))Step Up (3 wk int'l camp for youth born in 2008 or 2009)Leadership & Service Week (1 wk of daily service projects & CISV activities for age 14-15)Faces Jr Counselor (16-17 yr olds)Fortnight (2 wk USA camp for 16 -17 yr olds)Seminar (3 wk int'l camp for 16-17 yr olds)Virtual Interchange (virtual activities with youth living abroad and local in-person activities for local Jax kids)

Which CISV programs are you interested in for Child #2?

Faces local program (2 week overnight camp for youth currently in 5th grade)Village (4 week int'l camp for kids born in 2012)Youth Meeting (8 or 15 day int'l camp for kids born in 2010 or 2011)Interchange (4 wk reciprocal family exchange - youth spend 2 wks in Jax & 2 wks in other country- for kids born in 2008 or 2009))Step Up (3 wk int'l camp for youth born in 2008 or 2009)Leadership & Service Week (1 wk of daily service projects & CISV activities for age 14-15)Faces Jr Counselor (16-17 yr olds)Fortnight (2 wk USA camp for 16 -17 yr olds)Seminar (3 wk int'l camp for 16-17 yr olds)Virtual Interchange (virtual activities with youth living abroad and local in-person activities for local Jax kids)

Which CISV programs are you interested in for Child #3?

Faces local program (2 week overnight camp for youth currently in 5th grade)Village (4 week int'l camp for kids born in 2012)Youth Meeting (8 or 15 day int'l camp for kids born in 2010 or 2011)Interchange (4 wk reciprocal family exchange - youth spend 2 wks in Jax & 2 wks in other country- for kids born in 2008 or 2009))Step Up (3 wk int'l camp for youth born in 2008 or 2009)Leadership & Service Week (1 wk of daily service projects & CISV activities for age 14-15)Faces Jr Counselor (16-17 yr olds)Fortnight (2 wk USA camp for 16 -17 yr olds)Seminar (3 wk int'l camp for 16-17 yr olds)Virtual Interchange (virtual activities with youth living abroad and local in-person activities for local Jax kids)

Are there any countries that you would particularly like for a CISV program?

Would you prefer a program in the USA rather than an international program?

Yes

No

For a winter program would you prefer a 2 week program where your child would miss school or 8 days that minimizes the amount of school missed? More educational content is delivered in a 15 day program.

8 day winter program

15 day winter program

Select any country where you would NOT send your child:

ArgentinaAustrialasia: New Zealand, AustraliaBrazilCanadaCentral Western Europe: Austria, Switzerland, Germany, Belgium, UK, the NetherlandsColombiaCosta RicaCzech RepublicEast Asia: China, Japan, Korea, TaiwanEcuadorEgyptGuatemalaHondurasIcelandIndiaIsraelJordanMexicoMongoliaNorthern Europe: Denmark, Finland, Norway, SwedenPeruPolandSoutheast Asia: Indonesia, Philippines, Singapore, Thailand, Vietnam,Turkey

Would you be willing to your child to miss school to attend a CISV program?

Yes

No

Other

Family Contact Information

Child #1 Name

First Last

Child #1 Date of Birth

MM slash DD slash YYYY

Child #2 Name

First Last

Child #2 Date of Birth

MM slash DD slash YYYY

Child #3 Name

First Last

Child #3 Date of Birth

MM slash DD slash YYYY

Parent Name*

First Last

Parent Phone

Parent Email*

Do you have any other questions or feedback for CISV?

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