Greenheart Club Registration Form

Join the Greenheart Club to get connected with CCI & Greenheart, for cool ideas on how to volunteer in your community, and to enrich your cultural exchange experience.
First Name*: Last Name*:
Email*:
Program*:
Home Country:
Host Family Name (for High School students only):
Host City: Host State:
Phone Number where you can be reached:
Are you on Facebook? If so, what is your screen name?
Have you ever volunteered in your home country?
If so, what did you do?
What kind of volunteer activities are you interested in?
How do you want to change the world? :)
“You must be the change you want to see in the world.” - Mahatma Gandhi