Presentation - All Programs

Please complete the following. Once complete, you'll be forwarded to a selection page where you'll be able to choose your program of interest.

Questions marked with a * are required.

 
*1. Please enter your first name.
 
*2. Please enter your last name.
 
*3. Please enter your street address.
 
*4. Please enter your suburb.
 
*5. Please enter your state.
 
*6. Please enter your post code.
 
*7. Please enter your home phone number – CCUSA will only use your number to contact you to discuss the programs you are interested in.**NOTE** Please enter in this format 00-0000-0000 (First two digits being area code. Please place the dash between numbers and leave no spaces)
 
*8. Please enter your mobile phone number – CCUSA will only use your number to contact you to discuss the programs you are interested in.**NOTE** Please enter in this format 00-0000-0000 (First two digits being 04 for a mobile. Please place the dash between numbers and leave no spaces)
 
*9. Please enter your email address
 
*10. Your gender.
 
*11. From the selection following, please tell us which program you are interested in. You can select one or all of them.
Use the following to select the codes
* Camp Counselors USA (18+, June - August) - CC
* Working Holiday USA (19+, 12mths, open all year) - WH
* Work Experience USA (Full time tertiary students) - WW
* Camp Counselors Russia - RU
* Work and Play Canada - CN
* Camp California in Croatia - CL
* Camp Counselors Canada - CD
* Work in English Pubs - PU
* Practical Training USA - PT
* Volunteer Experience Asia - VA
* Volunteer Experience Africa - VS
* Volunteer Experience Latin America - VL
* Work Exchange UK - WK
CC
WH
WW
RU
CN
CL
CD
PU
PT
VA
VS
VL
WK
Other: region of interest 
 
*12. Could you please let us know how you found out about the online presentation? E.G - CCUSA Web Site or link from Ezine.
 
13. At CCUSA we welcome any questions or additional comments. Please feel free to place any additional requests in this space.