THE FORMS REQUIRE THAT YOU HAVE ADOBE ACROBAT 9 OR HIGHER.

DATA YOU ENTER MAY NOT BE VIEWABLE ON OTHER COMPUTERS AND WHEN PRINTED.

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Please carefully read instructions and tips at the bottom of this page.

  • For technical questions regarding the forms, contact Jennifer at burns.cisvpittsburgh@gmail.com.
  • For questions about how to complete or submit the forms, please contact Sarah Galusha at sarah.galusha@yahoo.com.
  • CISV International has a YouTube channel that gives advice on filling out the required forms for International programs.

Required Travel Forms - Village, Step Up, Youth Meeting (ages 14-15), and Interchange

Form NameView FormNotes
Youth Legal Form and Health FormDownloadComplete and email by May 15. See Instructions for submission.
National Code of ConductDownloadInclude with all original legal/health forms when traveling.
This form is NOT to be submitted with legal and health forms to local chapter.

Required Travel Forms - Junior Counselor

Travel FormView FormNotes
Travel Information FormDownloadComplete and provide to chapter representative upon purchase of travel plans.
JC Information FormDownloadComplete and email to program director (1) month prior to program.
Youth Traveling Alone Legal Form and Health FormDownloadComplete and email by May 15. See instructions for submissions.
National Code of ConductDownloadInclude with all original legal/health forms when traveling.
This form is NOT to be submitted with legal and health forms to local chapter.

Required Travel Forms - Independent Traveler

Please complete if your child is traveling independently for Youth Meeting or Seminar Camp.
Travel FormView FormNotes
Travel Information FormDownloadComplete and provide to chapter representative upon purchase of travel plans
Youth Traveling Alone Information Form and Health FormDownloadComplete and email by May 15. See Instructions for submission.
National Code of ConductDownloadInclude with all original legal/health forms when traveling.
This form is NOT to be submitted with legal and health forms to local chapter.

Required Travel Forms - Leader

Travel FormView FormNotes
Travel Information FormDownloadComplete and provide to chapter representative upon purchase of travel plans
Adult Legal Information Form and Health FormDownloadComplete and email by May 15. See Instructions for submission.
National Code of ConductDownloadInclude with all original legal/health forms when traveling.
This form is NOT to be submitted with legal and health forms to local chapter.

Instructions and Tips for filling out the forms for International programs using Adobe Acrobat:

  • For your convenience, we have created fillable PDF forms.
  • Once you have downloaded Adobe Acrobat, click to download the legal form and health form packet for your particular program. Find your downloaded file. To open, right click > Open with > Adobe Acrobat.
  • If you prefer to complete them manually, all forms are printable with blank fields.
  • All travel forms MUST have original signatures. Once you’ve completed filling them out, you must print them to sign.
  • If you see any corrections that need to be made, please contact Jennifer at burns.cisvpittsburgh@gmail.com.

Prior to filling out the forms, have the following information available:

  • Leader’s FULL name and birthdate, as it appears on their passport
  • Program number, available on the website under your specific program tab
  • Program dates
  • Travel dates (may be different from program dates)

What’s new:

  • Drop down menus for program numbers and host countries
  • Date boxes to ensure they are in international format (DD/MM/YYYY)
  • Tooltips are available in some boxes. Simply hover your mouse over the box/field and a tooltip will appear in a small, yellow box.

Youth Legal Information Form Instructions for International Programs:

  • Full name of participant and leaders should be the same name as appears on their passport.
  • All birthdate, program, travel and signature dates MUST be international format (Day/ Month/Year)
  • “CISV Programme” numbers can be found on the website tab Programs/2017 Programs
  • Page 1, Part 2: Dates for appointing legal guardian MUST be the travel dates, not the program dates.
  • All participants are covered by CISV travel insurance, which includes medical insurance. You will receive a follow up email explaining the terms of this insurance.
  • Page 3, Part 11: Sign the form in the presence of a witness, who should NOT be a family member. Signature dates MUST be in international format (Day/Month/Year)
  • Legal forms do NOT need to be notarized.

Health Form Instructions for International Programs:

  • This form must be signed by delegate, parent/guardian and health professional.
  • The form must be dated no more than THREE (3) MONTHS before departure. CISV USA requires that the physician sign the health form (thus attesting to the participant’s health) within 90 days of the first day of the participant’s program. It is not required that the physical exam itself take place within those 90 days, just that the physician sign and date within that time frame.
  • Participant’s name should be written as it appears on their passport.
  • Date of birth and signature dates must be in international format (Day/Month/Year).
  • Country of citizenship needs to be home country: USA
  • Duration of program is program dates, not travel dates.
  • Page 2 “Medications”:  list generic names rather than brand names, which may vary from country to country.
  • Page 4 “Immunizations”: CISV USA prefers you to transfer immunization information to the form, although they will accept a printed immunization record following the last page of the Health Form. Just write “See Attached” in the immunization area if you select this option. If dates on the immunization record are NOT in international format, it is OK.
  • Page 4 in the Part D section on the Signature of Participant/Adult Leader or Staff line: This applies to EVERYONE – even 11-year olds.
  • Part E needs to be filled out by a physician and dated within THREE MONTHS of first travel date. It MUST be dated in international format (Day/Month/Year).
  • Page 5 MUST be stamped by the physician or have a business card attached.

Instructions for submitting International Program Forms:

  • Scan forms (LEGAL FORM FIRST, HEALTH FORM SECOND). It must be one scanned document when complete (please do not send individual attachments for each page) and in PDF format, and MUST be in this order.
  • Email final form to Insurance Chair, Sarah Galusha at sarah.galusha@yahoo.com
  • Once your forms are received, we will review them for errors or missing information. Forms that are incorrectly completed or submitted in the wrong order will need to be corrected, re-scanned, and resubmitted. Please read the above instructions and contact Sarah Galusha with any questions before submitting. The chapter is required to submit the forms as a delegation, so if one person’s forms are late, the whole group is late!
  • Original forms will need to be copied and kept. Please consult your leader for instructions on how all paperwork is to be handled during travel. National Code of Conduct is not due with the legal forms on May 15, but must be included with the delegate’s forms when they travel to their program.