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Work with Foreign Exchange Students in the U.S.

Complete the following form to receive more information about becoming a CCI Greenheart Local Coordinator or a Short-term Groups Local Coordinator. You may also contact us toll-free at our Chicago Office at (800) 634-4771.  

Please submit your inquiry only once to avoid making duplicate records. Thank you.

* REQUIRED  

 *First Name:
 *Last Name:
 *Physical Home Address:
(P.O. Boxes are not acceptable)
 *City:
 *State/Province:
 *Zip/Postal Code: (ex: 00000)
 *Home Phone: (ex: 000-000-0000)
  Work Phone: (ex: 000-000-0000)
 *Email Address:
 *Confirm Email Address:
 *Are you interested in being a Local Coordinator working with high school students coming for a school year or semester?
 *Are you interested in being a Short-Term Groups Local Coordinator working with high school students  and adults coming for a short-term summer program?
 *Do you currently volunteer in your community?
 (If yes, please provide a brief explanation below)

Please note there is a limit of 2000 characters. Anything over this limit will be truncated.
 *Would you be willing to host, if needed?
(Hosting is not required to be an LC)


  Comments:
 *By checking this box, I understand that this is an independent contractor position and earnings are commissioned based.