2026 Youth Delegate Reference Form

If you are the youth applicant’s current teacher, what is your school’s name?(Required)

What is your school’s phone number?(Required)

Length of time you have known the youth applicant:(Required)

Use this space to elaborate on any of the traits circled above or to share any concerns. Keep in mind that we are looking for youth who complement each other when forming program delegations. There is no set profile of a “typical” or “ideal” youth delegate.(Required)

Do you know of any special talents or experiences that would help this youth applicant contribute to an international program?(Required)

To the best of your knowledge, does this youth applicant have any emotional or behavioral characteristics that would interfere with his/her successful completion of a CISV program?(Required)

Behaviors that are never acceptable in any CISV program include illegal acts, alcohol/drug abuse, dishonesty, prejudice or intolerance, violence or lack of self-control, sexual contact, verbal abuse of others, and inability to handle a reasonable amount of stress. If you have seen the youth applicant exhibit such behaviors, please explain in the space below. You can also say, does not apply.(Required)

Youth Delegate Reference Form 2026

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