Leader Survey - CISV 2020 Program Interest Question Title * 1. What is your name? Question Title * 2. What is your email address? Question Title * 3. What is your cell phone number? Question Title * 4. For 2020, what CISV programs are you interested in? Village Age 11 (4 week program) - leading Jax to another location Staffing our Jacksonville Step Up (June 10 to July 2) FACES of Jacksonville Rising 5th, 6th and 7th Grade (2 week local program) Interchange Age 12-13 (2 weeks in Jax, 2 weeks abroad - FRANCE) Interchange Age 14-15 (2 weeks in Jax, 2 weeks abroad - ITALY) Youth Meeting Delegation Age 12-13 ( 8 or 15 day program) Youth Meeting Delegation Age 14-15 (8 or 15 day program) Step Up (Summer Camp) age 14 (3 week program) Step Up (Summer Camp) age 15 (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. Would you be interested in staffing our 2020 Step Up in Jacksonville from June 10 to Jul 2, 2020? The Step Up will have up to 40 15-year olds from 10 countries, living together, sharing their cultures, and building friendships. Yes No Question Title * 6. Are there any countries that you would especially like for a CISV program? Question Title * 7. Please check any country where you would NOT go? Argentina Brazil Canada Central Western Europe: Austria, Switzerland, Germany, Belgium or the Netherlands China Colombia Costa Rica Ecuador Egypt Honduras Guatemala Iceland India Indonesia Israel Japan Jordan Korea (South) Mexico Northern Europe: Sweden, Denmark, Norway or Finland Phillipines Southern Europe: Spain, Portugal, France or Italy Turkey Vietnam Mongolia Singapore Australia Done