CISV Michigan City-Lakeshore

CISV educates and inspires action for a more just and peaceful world.

2027 Youth Delegate Reference Form

Youth Delegate Reference Form 2027

If selected, the youth applicant will represent both the United States and his/her own area in an international setting. The local CISV USA Chapter requests your help in identifying applicants who exhibit leadership qualities and can represent their own culture successfully. All youth delegates applications and references are due by NOVEMBER 30TH @ 11:59PM

The following is a recommendation for:(Required)
Name of adult completing this reference form:(Required)
Please check ALL the traits in the list below that you consider to be characteristic of the youth applicant.(Required)
Check the FIVE adjectives in the list below that you feel describe the youth applicant's greatest strengths.(Required)
The information provided above has been thoughtfully and honestly given, based on my knowledge and perception of the youth applicant. I understand that the information will be kept confidential and will be used by the local CISV Chapter in the evaluation of the youth applicant.(Required)
Signature of Referring Person:(Required)