CISV 2020 Program Interest Survey Question Title * 1. What is your name? Question Title * 2. For 2020, what CISV programs are you interested in for Child #1? Village Age 11 (4 week program) FACES of Jacksonville Rising 5th, 6th and 7th Grade (2 week local program) Interchange Age 12-13 (2 weeks in Jax, 2 weeks abroad) Interchange (age 14-15) (2 weeks in Jax, 2 weeks abroad) Youth Meeting Delegation Age 12-13 ( 8 or 15 day program) Youth Meeting Delegation Age 14-15 (8 or 15 day program) Youth Meeting Individual Age 16-18 (8 or 15 day program) Step Up (Summer Camp) age 14 (3 week program) Step Up (Summer Camp) age 15 (3 week program) Intl Village Jr. Counselor Age 16-17 (4 week program) FACES Jr. Counselor Age 16-17 (2 week program) Fortnight (2 week USA national age 16-17) Seminar Age 17-18 (3 week program) Youth Meeting Individual Age 19+ (8 or 15 day program) Int'l Peoples Project age 19+ (14 to 23 day program) Question Title * 3. For 2020, what CISV programs are you interested in for Child #2? Village Age 11 (4 week program) FACES of Jacksonville Rising 5th, 6th and 7th Grade (2 week program) Interchange Age 12-13 (2 weeks in Jax, 2 weeks abroad) Interchange Age 14-15 (2 weeks in Jax, 2 weeks abroad) Youth Meeting Delegation Age 12-13 ( 8 or 15 day program) Youth Meeting Delegation Age 14-15 (8 or 15 day program) Youth Meeting Individual Age 16-18 (8 or 15 day program) Step Up (Summer Camp) age 14 (3 week program) Step Up (Summer Camp) age 15 (3 week program) Intl Village Jr. Counselor Age 16-17 (4 week program) Fortnight (2 week USA national age 16-17) FACES Jr. Counselor Age 16-17 (2 week program) Seminar Age 17-18 (3 week program) Youth Meeting Individual Age 19+ (8 or 15 day program) Int'l Peoples Project age 19+ (14 to 23 day program) Question Title * 4. For 2020, what CISV programs are you interested in for Child #3? Village Age 11 (4 week program) FACES of Jacksonville Rising 5th, 6th and 7th Grade (2 week program) Interchange Age 12-13 (2 weeks in Jax, 2 weeks abroad) Interchange Age 14-15 (2 weeks in Jax, 2 weeks abroad) Youth Meeting Delegation Age 12-13 ( 8 or 15 day program) Youth Meeting Delegation Age 14-15 (8 or 15 day program) Youth Meeting Individual Age 16-18 (8 or 15 day program) Step Up (Summer Camp) age 14 (3 week program) Step Up (Summer Camp) age 15 (3 week program) Intl Village Jr. Counselor Age 16-17 (4 week program) Fortnight (2 week USA national age 16-17) FACES Jr. Counselor Age 16-17 (2 week program) Seminar Age 17-18 (3 week program) Youth Meeting Individual Age 19+ (8 or 15 day program) Int'l Peoples Project age 19+ (14 to 23 day program) Question Title * 5. Are there any countries that you or your child would especially like for a CISV program? Question Title * 6. Please check any country where you would NOT send your child? Argentina Brazil Canada Central Western Europe: Austria, Switzerland, Germany, Belgium, Great Britain or the Netherlands Colombia Costa Rica China Ecuador Egypt Czech Republic Guatemala Honduras Iceland India Indonesia Israel Japan Korea (South) Mexico Jordan Northern Europe: Sweden, Denmark, Norway or Finland Phillipines Poland Southern Europe: Spain, Portugal, France or Italy Turkey Vietnam Mongolia Signapore Australia Question Title * 7. If your child will be 11 in 2020, would you prefer your child attend a program hosted in the United States or Canada? Yes No Question Title * 8. If you are interested in Step Up, rank your preferred region for the programs 1 2 3 4 5 6 7 Europe 1 2 3 4 5 6 7 South America 1 2 3 4 5 6 7 Asia 1 2 3 4 5 6 7 North America (other than USA) 1 2 3 4 5 6 7 USA 1 2 3 4 5 6 7 Middle East 1 2 3 4 5 6 7 Australia or New Zealand (winter) Question Title * 9. For youth age 12 or 13, would you prefer an 8 day program in Mongolia or Japan or 15 day program in Canada or USA? 8 days in Mongolia or Japan 15 days in Canada or USA Question Title * 10. 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. 2 week winter youth meeting 1 week winter youth meeting Question Title * 11. What is the name, age and gender of Child #1? Name Age Gender Question Title * 12. What is the name, age and gender of Child #2? Name Age Gender Question Title * 13. What is the name, age and gender of Child #3? Name Age Gender Question Title * 14. Would you be willing for your child to miss school to attend a CISV program? Question Title * 15. What is your cell phone number? Question Title * 16. What is your email address? Done