» Forms

FORMS

Proper completion of these forms is critical. All forms are due to CISV Jacksonville by May 4 or your child may not be able to travel.

Form	Who is it for?	Which Programs?	Who Signs?	Helpful Info
YLIF (Youth Legal Information Form-2018)	All Delegates	All Programs	Parent	View Video
Conduct Form	All Participants (Delegates & Leaders)	All Programs	Parent; Delegate
Parent_Commitment_Form	All Parents	All Programs	Parent
Health Form (fillable)	All Participants (Delegates & Leaders)	All Programs (must be dated within 3 months before program)	Doctor; Parent	View Video

If you are a youth ages 16-20 travelling without a leader, fill out: TWAL
If you are a leader fill out ALIF (View Video).

Please scan/e-mail all forms to CISV Jax (keep one copy for yourself).
Questions? E-mail us. We are happy to help.

You may feel overwhelmed at first with all the paperwork, but trust it has a purpose in ensuring a safe and enjoyable experience for everyone involved. Completing all forms fully, accurately and submitting them on time is important for keeping your delegation on track and enabling your host country and program staff to prepare for your arrival.

Submit signed forms to [email protected] by the Spring General Meeting for summer programs and by Nov 1 for winter programs.

YLIF Notes

We will provide the info you need for the following: CISV Programme (at orientation), Full name of Adult Leader and Leader’s Date of Birth. The U.S. country code for phone numbers is 001

As of the 2016 program year, all CISV participants in international programs will be covered by a single travel insurance policy arranged by CISV International. Under the policy negotiated by the International Office, participants will be covered automatically for their program dates.

Health Form Notes

Must be signed and dated by any provider (PA, ARNP or MD) within 90 days of the program start date (in general summer participants need physicals around April timeframe and winter participants in October).

If including an immunization record in lieu of completing the “immunization history,” do not overlook the “infection history.” This section must be completed.

Submit with physician’s signature to [email protected]. Please bring original to Spring General Meeting and give to Risk Management Chair.

After the program, should you need help filing a travel insurance claim, here are two forms to use:
CISV Travel Insurance - How to Start or make a Claim - FEBRUARY 2016
Flowchart - CISV Travel Insurance - How to Start a Claim - N-04A

Email Sign-Up

The best way to keep updated on CISVJax is to receive our free monthly e-newsletter!
Email Address:required
Emily, age 13

“CISV means learning about different cultures and making friends from all other the world.”

2014-05-03T01:43:23+00:00

“CISV means learning about different cultures and making friends from all other the world.”

http://www.cisvjax.org/testimonials/emily-age-13-2/

Rachel, Youth Meeting Delegate, age 14

The best part was meeting people. One of my best memories was the last night of the youth meeting. I learned about sustainable development goals. I’d like to tell future CISV delegations that it was worth it.

2016-09-15T13:45:52+00:00

The best part was meeting people. One of my best memories was the last night of the youth meeting. I learned about sustainable development goals. I’d like to tell future CISV delegations that it was worth it.

http://www.cisvjax.org/testimonials/rachel-youth-meeting-delegate-age-14/

Interchange delegate, age 13

“The best part was getting to know my interchange partner and the other delegation. My partner and I got along really well. We connected even though I am shy. My parents had a lot of fun hosting our interchange partner. They really liked her. One of the hardest parts was saying goodbye.”

2015-08-22T20:50:18+00:00

“The best part was getting to know my interchange partner and the other delegation. My partner and I got along really well. We connected even though I am shy. My parents had a lot of fun hosting our interchange partner. They really liked her. One of the hardest parts was saying goodbye.”

http://www.cisvjax.org/testimonials/interchange-delegate-age-13/

Ani, Step Up delegate, age 15

The best part was meeting and getting to know everyone. I was disappointed by how fast the time went. The other people in my delegation were amazing. I love them all. I learned better leadership skills and how to learn to communicate with the non-fluent English speakers. I’d like to tell future CISV delegations to View Full →

2016-09-15T13:52:24+00:00

The best part was meeting and getting to know everyone. I was disappointed by how fast the time went. The other people in my delegation were amazing. I love them all. I learned better leadership skills and how to learn to communicate with the non-fluent English speakers. I’d like to tell future CISV delegations to View Full →

http://www.cisvjax.org/testimonials/ani-step-up-delegate-age-15/

Brittney, age 22

“CISV has introduced me to wonderful people that I can grow with.”

2014-05-03T01:39:49+00:00

“CISV has introduced me to wonderful people that I can grow with.”

http://www.cisvjax.org/testimonials/brittney-age-22/

Stephanie, age 26

“CISV has helped me realize the importance of listening and being quiet at times when that may not be my first instinct.”

2014-05-03T01:47:07+00:00

“CISV has helped me realize the importance of listening and being quiet at times when that may not be my first instinct.”

http://www.cisvjax.org/testimonials/stephanie-age-26-2/

Bradley, age 17

“CISV is an organization that allows people to connect and learn about other cultures.”

2014-05-03T01:45:39+00:00

“CISV is an organization that allows people to connect and learn about other cultures.”

http://www.cisvjax.org/testimonials/bradley-age-17-3/

Emily, age 13

“CISV has let me travel the world and learn about others.”

2014-05-03T01:40:19+00:00

“CISV has let me travel the world and learn about others.”

http://www.cisvjax.org/testimonials/emily-age-13/

Ani, age 14

“The other people in my delegation were awesome. I could tell them anything. I was surprised by how much we (the youth delegates) controlled the camp. I learned advanced leadership skills and how to better make friends at Step-Up.”

2015-08-22T20:51:14+00:00

“The other people in my delegation were awesome. I could tell them anything. I was surprised by how much we (the youth delegates) controlled the camp. I learned advanced leadership skills and how to better make friends at Step-Up.”

http://www.cisvjax.org/testimonials/ani-age-14/

JB Leader, age 17

CISV has impacted every facet of my life in the sense of making new friends, having new experiences, traveling the world and learning to be a leader. It has shaped me as a person.

2014-05-03T01:35:06+00:00

CISV has impacted every facet of my life in the sense of making new friends, having new experiences, traveling the world and learning to be a leader. It has shaped me as a person.

http://www.cisvjax.org/testimonials/jb-leader-age-17/

Sammy, age 16

“CISV has made me more understanding. It has given me the ability to open my mind and the minds of those around me.”

2014-05-03T01:41:32+00:00

“CISV has made me more understanding. It has given me the ability to open my mind and the minds of those around me.”

http://www.cisvjax.org/testimonials/sammy-age-16/

Erin, age 16

“CISV creates an opportunity for people to learn about the world, cultural diversity and how to make a difference in the world.”

2014-05-03T01:34:19+00:00

“CISV creates an opportunity for people to learn about the world, cultural diversity and how to make a difference in the world.”

http://www.cisvjax.org/testimonials/erin-age-16/

Bradley, age 17

“CISV has totally changed my life. It has make me way more interested in international affairs and that is what I am going to do with my life.”

2014-05-03T01:38:20+00:00

“CISV has totally changed my life. It has make me way more interested in international affairs and that is what I am going to do with my life.”

http://www.cisvjax.org/testimonials/bradley-age-17/

Kathryn, age 17

“We do a lot of situation games, which are my favorite. They put you in uncomfortable situations, where people aren’t treated the same. It is that way in the world and it makes you more aware.”

2014-05-03T01:36:52+00:00

“We do a lot of situation games, which are my favorite. They put you in uncomfortable situations, where people aren’t treated the same. It is that way in the world and it makes you more aware.”

http://www.cisvjax.org/testimonials/kathryn-age-17/

Olivia H., age 14

“My partner and I are best friends. The other people in my delegation were awesome. Our delegations got along so well. When I talk about my CISV experience with my American friends think I actually have a special life.”

2015-08-22T20:49:25+00:00

“My partner and I are best friends. The other people in my delegation were awesome. Our delegations got along so well. When I talk about my CISV experience with my American friends think I actually have a special life.”

http://www.cisvjax.org/testimonials/olivia-h-age-14/

CISV Volunteer

“It is difficult to convey to new parents how profound the CISV experience is when they are looking at CISV for the first time.”

2013-09-01T01:53:54+00:00

“It is difficult to convey to new parents how profound the CISV experience is when they are looking at CISV for the first time.”

http://www.cisvjax.org/testimonials/cisv-volunteer/

11 year old Village delegate

“I learned to be peaceful, to solve quarrels without violence, create win-win situations and not to judge people.”

2015-08-22T20:46:29+00:00

“I learned to be peaceful, to solve quarrels without violence, create win-win situations and not to judge people.”

http://www.cisvjax.org/testimonials/11-year-old-village-delegate/

Anya, age 12

“CISV is a place where no one will judge you about being yourself.”

2014-05-03T01:49:11+00:00

“CISV is a place where no one will judge you about being yourself.”

http://www.cisvjax.org/testimonials/anya-age-12/

Brittney, age 22

“CISV is an organization that allows youth and adults to challenge mindsets to better understand those in our communities and around the world.”

2014-05-03T01:47:55+00:00

“CISV is an organization that allows youth and adults to challenge mindsets to better understand those in our communities and around the world.”

http://www.cisvjax.org/testimonials/brittney-age-22-2/

Stephanie, age 26

“CISV is a safe space for dialogue, disagreements and lots of hugs.”

2014-05-03T01:47:32+00:00

“CISV is a safe space for dialogue, disagreements and lots of hugs.”

http://www.cisvjax.org/testimonials/stephanie-age-26-3/

Olivia K., age 14

“I learned a lot about walking in other people’s shoes and world conflicts. I’d like to tell future CISV delegations that they should enjoy every minute of camp.”

2015-08-22T20:52:08+00:00

“I learned a lot about walking in other people’s shoes and world conflicts. I’d like to tell future CISV delegations that they should enjoy every minute of camp.”

http://www.cisvjax.org/testimonials/olivia-k-age-14/

Sammy, age 16

“It takes courage to stand up and takes even more to sit down and listen.”

2014-05-03T01:44:23+00:00

“It takes courage to stand up and takes even more to sit down and listen.”

http://www.cisvjax.org/testimonials/sammy-age-16-2/

Kristin, age 13

“My interchange partner and I were basically sisters. We had a lot of fun together. The best part of the interchange were the people in the delegations.”

2015-08-22T20:48:55+00:00

“My interchange partner and I were basically sisters. We had a lot of fun together. The best part of the interchange were the people in the delegations.”

http://www.cisvjax.org/testimonials/kristin-age-13/

James, Village delegate, age 11

I learned a lot about different cultures. One of my best memories is meeting everyone at Village.

2016-09-14T19:24:00+00:00

I learned a lot about different cultures. One of my best memories is meeting everyone at Village.

http://www.cisvjax.org/testimonials/james-village-delegate-age-11/

15 year old participant

“I participate in important things I would never have thought of doing before and also I feel much more confident about myself and my place in the world.”

2014-05-03T01:38:45+00:00

“I participate in important things I would never have thought of doing before and also I feel much more confident about myself and my place in the world.”

http://www.cisvjax.org/testimonials/15-year-old-participant/

Carley, age 11

“Never judge a person by the cover and to always respect everyone and be nice to everyone.”

2014-05-03T01:42:17+00:00

“Never judge a person by the cover and to always respect everyone and be nice to everyone.”

http://www.cisvjax.org/testimonials/carley-age-11/

Participant, age 16

“CISV has given me the chance to evolve into the person I am today.”

2014-05-03T01:40:49+00:00

“CISV has given me the chance to evolve into the person I am today.”

http://www.cisvjax.org/testimonials/participant-age-16/

Sidney, age 12

“A very valuable less that I’ve learned is one about awareness and not being selfish or close-minded.”

2014-05-03T01:43:02+00:00

“A very valuable less that I’ve learned is one about awareness and not being selfish or close-minded.”

http://www.cisvjax.org/testimonials/sidney-age-12/

Bradley, age 17

“CISV has made me more compassionate.”

2014-05-03T01:39:09+00:00

“CISV has made me more compassionate.”

http://www.cisvjax.org/testimonials/bradley-age-17-2/

11-year-old Village delegate

“I learned to be non-prejudiced, to respect others and their differences and to always choose kindness.”

2015-08-22T20:47:01+00:00

“I learned to be non-prejudiced, to respect others and their differences and to always choose kindness.”

http://www.cisvjax.org/testimonials/11-year-old-village-delegate-2/

Nico, Village delegate, age 11

My understanding of the world was broadened through CISV. I learned that I can change the world.

2016-09-15T13:51:17+00:00

My understanding of the world was broadened through CISV. I learned that I can change the world.

http://www.cisvjax.org/testimonials/nico-village-delegate-age-11/

Participant, age 15

“CISV is a way to learn new things and new ideas that I have never heard before. It is also a place where I can express myself fully. “

2014-05-03T01:46:23+00:00

“CISV is a way to learn new things and new ideas that I have never heard before. It is also a place where I can express myself fully. “

http://www.cisvjax.org/testimonials/participant-age-15-2/

CISV Volunteer

“CISV makes me believe that a better world is possible and because we’re actually working for it.”

2013-09-01T01:54:51+00:00

“CISV makes me believe that a better world is possible and because we’re actually working for it.”

http://www.cisvjax.org/testimonials/cisv-volunteer-2/

Ripley, Interchange participant, age 13

I was surprised by how close we all became. My partner and I were very similar. The other people in my delegation were really great and I hope we stay friends. I wish I had known how great it would be so I would not have been so nervous. I’d like to tell future CISV View Full →

2016-09-15T13:53:03+00:00

I was surprised by how close we all became. My partner and I were very similar. The other people in my delegation were really great and I hope we stay friends. I wish I had known how great it would be so I would not have been so nervous. I’d like to tell future CISV View Full →

http://www.cisvjax.org/testimonials/ripley-interchange-participant-age-13/
Recent Blog Posts
Contact Info

1650 Margaret Street, Suite 302 PMB# 279 Jacksonville, FL 32204 Phone: (904) 616-1390 [email protected]

FORMS

Proper completion of these forms is critical. All forms are due to CISV Jacksonville by May 4 or your child may not be able to travel.

Form

Who is it for?

Which Programs?

Who Signs?

Helpful Info

If you are a youth ages 16-20 travelling without a leader, fill out: TWAL If you are a leader fill out ALIF (View Video).

Email Sign-Up

Emily, age 13

Rachel, Youth Meeting Delegate, age 14

Interchange delegate, age 13

Ani, Step Up delegate, age 15

Brittney, age 22

Stephanie, age 26

Bradley, age 17

Emily, age 13

Ani, age 14

JB Leader, age 17

Sammy, age 16

Erin, age 16

Bradley, age 17

Kathryn, age 17

Olivia H., age 14

CISV Volunteer

11 year old Village delegate

Anya, age 12

Brittney, age 22

Stephanie, age 26

Olivia K., age 14

Sammy, age 16

Kristin, age 13

James, Village delegate, age 11

15 year old participant

Carley, age 11

Participant, age 16

Sidney, age 12

Bradley, age 17

11-year-old Village delegate

Nico, Village delegate, age 11

Participant, age 15

CISV Volunteer

Ripley, Interchange participant, age 13

Recent Blog Posts

Contact Info

If you are a youth ages 16-20 travelling without a leader, fill out: TWAL
If you are a leader fill out ALIF (View Video).