Please complete this form if you would like to send international students to CCI as a sending partner/agent. If we are interested in learning more about your organization, we will respond to you via email. Thank you.

* Name of Agency/Organization:
* Name of Person Completing Form: Mr. Ms.
* Address 1:
* Address 2:
* City: State/Province:
* Zip/Postal Code:  
* Country:
* Phone: * Fax:      * Email:
Which programs in the United States are you interested to send participants on? (check all that apply)
Academic Year and Semester Program
Taste of American High School Program
Short-Term Group Homestay Program
Multinational Group Program
Independent Homestay Program
Environmental Group Program
Volunteer Internship Program (Unpaid Internships)
Internship Program (Paid Internships up to 12 months)
Work & Travel Program
How did you hear about CCI?
Is your agency/organization currently sending participants to the United States?   Yes No
Briefly describe the programs your agency/organization is currently offering:

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Thank you for your interest in CCI.


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