On behalf of CISV Pittsburgh, I am delighted that your child is interested in applying for our
Seminar Camp program.
In the travel year of 2011, the Pittsburgh chapter will send one female delegate, age 17-18, to
the Seminar Camp in Auvergne, France (July 16 to August 5). It is a great honor to be
selected as a delegate to a CISV Seminar Camp. Delegates travel independently and live
together with 30 delegates from around the world and an international adult staff, giving them
the opportunity to expand their leadership and international relations skills.
Costs, volunteer obligations, and application procedures are explained in detail on the following
pages. Application forms are downloadable from our website (www.pitt.cisvusa.org). After you
review the material, we welcome the opportunity to discuss any questions you may have, and
will be happy to provide assistance in completing the application. Please feel free to contact
Paulette Thomas, Recruitment Chairperson, at 412-916-5898 or firstname.lastname@example.org.
We look forward to hearing from you.
Kristin Kovacic, President
INSTRUCTIONS FOR COMPLETING THE CISV SEMINAR CAMP APPLICATION
1. Please print legibly and in block letters.
2. Download and review CISV Guidelines on Discrimination and Policy on Cultural Sensitivity (R-7).
3. Download, complete and sign the four-page YOUTH DELEGATE APPLICATION FORM.
4. Write a STATEMENT OF 300 WORDS OR LESS explaining why you want to attend
Seminar Camp. You may include your qualifications.
5. Solicit two LETTERS OF REFERENCE (one from a teacher and one from a non-
family member). Request that the references be completed as soon as possible and
mailed to the address shown below. We suggest that you give your references a pre-
addressed, stamped envelope for this purpose.
6. Review and sign the attached FEE SCHEDULE/FAMILY SUPPORT AGREEMENT
7. Complete and sign the attached PARENT VOLUNTEER SIGN-UP FORM
8. Application deadline is January 1, 2011. We will accept applications after January 1 if
the Village programs are not filled; however, preference will be given to those who
have submitted their applications by that date or earlier.
9. Mail the following together with the $25 application fee to the address below.
Youth Delegate Application
Fee Schedule/Family Support Agreement form
Parent Volunteer Sign-Up Form
Mail to: CISV Pittsburgh – Recruitment
5605 Marlborough Rd.
Pittsburgh, PA 15217
2011 FEE SCHEDULE AND FAMILY SUPPORT AGREEMENT
Program and Chapter Fees
Application Fee (Non-refundable) $ 25 *This is a one-time fee,
Family Initiation Fee (New families only) $ 50* which covers all of the
Family Membership Fee (tax-deductible) $200* children in your family.
National Program Fee $545
**This required fee covers
Local Program Contribution (tax-deductible) $200 four years of participation
National Chapter Support, Special Projects for your entire family. On
and Insurance Fee $180 the fifth year, dues will be
TOTAL $1200 assessed annually.
Travel Expenses (Cost is influenced by destination.)
Passport or Visa (if required for destination)
Immunizations (if required for destination)
The $25 application fee is due with the application.
$500 deposit on Program fees is due by March 1, full payment by June 1. Delegate may
not participate in program until payment in full is made.
Family initiation and membership fees are fixed regardless of the number of children in
the family. Fees are due up-front. However, in cases of financial hardship, membership
fees can be paid in installments with prior approval by a Board committee.
Payment for airline tickets is typically made directly to the travel agent or airline via
check or credit card at the time of booking.
Support Agreement (Please sign and return with application)
The international camp and exchange programs sponsored by the Pittsburgh Chapter are made possible only because of the
volunteer and financial support provided by the members of the Chapter. As an all-volunteer organization, our Chapter depends on
the active involvement of each of its members in coordinating programs with the USA and International CISV organizations. In
addition, our Chapter, like all CISV chapters around the world, is permitted to send delegations to CISV sponsored events only
because we host a Village every three years.
Accordingly, if your child is selected to participate in one of the programs, we will ask you to support the local Chapter by
becoming active and participating in Chapter committees. We hope you value CISV and your participation as much as we do. It's a
fun, engaging way to contribute to world peace! The Parent Volunteer Sign-Up Form included in this packet lists volunteer
committees you could support. Please indicate your interest.
If our child is selected, I/we agree to pay the financial costs described above, and agree to volunteer to support the
Chapter as described above and on the Parent Volunteer Sign-Up Form.
CISV 2011 Parent Volunteer Sign-Up
CISV is an all-volunteer organization. Families are expected to support the Chapter with their skills.
Listed below are brief descriptions of Chapter opportunities. Please check all that interest you. You will
be contacted to match your interests with Chapter needs.
JUNIOR BRANCH ADVISOR Advise Junior Branch in selecting officers,
planning programs and implementing activities. Provide guidance and support to
develop local opportunities for our Junior Branch. Attend JB meetings. Act as
liaison between JB and Board.
RECRUITMENT Manage and coordinate the recruiting of leaders and delegates
for all programs. Prepare and distribute promotional materials and applications.
Coordinate Open House, presentations with schools and PTAs. Work closely with
PUBLIC RELATIONS Maintain contacts with local print/broadcast media to
publicize the programs and activities of CISV. Help with monthly newsletter.
MOSAIC Plan and implement projects that have an impact on our local
communities, which furthers CISV’s mission. May partner with like-minded
MEMBERSHIP/DIRECTORY Assist with maintain membership records.
FUNDRAISING Plan and implement fund-raising activities/events. Assist with
grant proposals. Manage the current card programs established with Giant Eagle.
NEWSLETTER Collect articles from CISV members, chapter announcements,
and other newsworthy items for inclusion in quarterly newsletter. Assist with
assembly and distribution.
INSURANCE Coordinate travel insurance forms between program participates
and CISV National. Distribute, collect and submit forms.
RISK MANAGEMENT Monitor Chapter activities and programs to ensure
safety and conformity with National guidelines.
MERCHANDISE Collaborate with JB in design and production of chapter CISV
merchandise. Manage inventory and conduct sales of Chapter T-shirts, etc. Work
closely with chapter Treasurer.
HOSPITALITY Arrange for facilities, refreshments, set-up and clean-up for all
general and special Chapter meetings and functions.
WEBSITE Assist with maintenance of the Chapter web site. Collaborate with JB
for website content. Some technical knowledge may be required.
LEADERSHIP TRAINING Assist with local training of leaders, JCs, Planners,
and parents. Training materials and methodology is supplied.
VOLUNTEER COORDINATOR Assist with maintenance of at-large volunteer
list; solicit volunteers for specific tasks as needed.
INTERCHANGE Assist with the planning and coordination of our annual
PROGRAM DEBRIEFING Collect, review, and summarize feedback from
program participants and parents.
FINANCE Assist in managing chapter funds and fees.
PROGRAM LIAISON Disseminate program specific information to new
families, act as a liaison between program leaders, delegates, and their families.