2018 VILLAGE CAMP PARTICIPANT APPLICATION FORM DEADLINE FOR APPLICATIONS: December 8, 2017 or until filled 1. PERSONAL INFORMATION (Please print clearly) Given Name Surname Street Address City Postal Code Home Phone Cell Phone Applicant e-mail Parent/Guardian Name Phone 1 Parent/Guardian Name Phone 2 Parent e-mail 1 Parent e-mail 2 Applicant holds passport VALID for travel dates? Y Gender Date of Birth dd / mm / yy N NA 2. PROGRAMME OPPORTUNITIES (Select all that are of interest) Mark Age* Program Program Programme Programme Reference Number (years) Start Date End Date “X” Village 11 (only) V-2018-039 Agder, Norway 29 Jun 2018 28 July 2018 Village (2) 11 (only) 06 Jul 2018 02 Aug 2018 V-2018-009 Toronto, Canada Participant must be the specified age for at least one day between 01-Jun-2018 and 31-Aug-2018. 3. CISV EXPERIENCE (If needed, please attach additional sheet with your name and your responses) Do you attend monthly Village meetings? If no, please indicate why you were unable to participate. Do you have any leadership experience outside of CISV? If yes, please specify. Why do you want to participate in a Village camp? 4. TRAVEL AND PROGRAM FEES POLICIES I/WE HAVE READ AND UNDERSTAND THE FOLLOWING DOCUMENTS (to be initialed by parent/guardian): Policy documents may be reviewed at www.cisvvictoria.ca/resources. CISV TRAVEL POLICY R-07 Behaviour & Cultural Sensitivity Guidelines CISV PROGRAM FEES POLICY (attached)
2018 VILLAGE CAMP PARTICIPANT APPLICATION FORM DEADLINE FOR APPLICATIONS: December 8, 2017 or until filled 1. PERSONAL INFORMATION (Please print clearly) Given Name Surname Street Address City Postal Code Home Phone Cell Phone Applicant e-mail Parent/Guardian Name Phone 1 Parent/Guardian Name Phone 2 Parent e-mail 1 Parent e-mail 2 Gender Date of Birth dd / mm / yy Applicant holds passport VALID for travel dates? Y N NA 2. PROGRAMME OPPORTUNITIES (Select all that are of interest) Mark “X” Programme Age* (years) Programme Reference Number Program Start Date Program End Date Village 11 (only) V-2018-039 Agder, Norway 29 Jun 2018 28 July 2018 Village (2) 11 (only) V-2018-009 Toronto, Canada 06 Jul 2018 02 Aug 2018 Participant must be the specified age for at least one day between 01-Jun-2018 and 31-Aug-2018. 3. CISV EXPERIENCE (If needed, please attach additional sheet with your name and your responses) Do you attend monthly Village meetings? If no, please indicate why you were unable to participate. Do you have any leadership experience outside of CISV? If yes, please specify. Why do you want to participate in a Village camp? 4. TRAVEL AND PROGRAM FEES POLICIES I/WE HAVE READ AND UNDERSTAND THE FOLLOWING DOCUMENTS (to be initialed by parent/guardian): Policy documents may be reviewed at www.cisvvictoria.ca/resources. CISV TRAVEL POLICY CISV PROGRAM FEES POLICY R-07 Behaviour & Cultural Sensitivity Guidelines (attached)
2017-8%20Programme%20Application_Village.docx