Local Coordinator Application

Thank you for your interest in becoming a Local Coordinator with American Councils! If you have additional questions about the position, please visit the LC Corner on our website or contact us.

Submitting an application does not confirm your status as a coordinator with American Councils. Upon receiving your application, American Councils staff will review your application, contact your references, and complete a background screening. Within approximately two weeks of submission, you will be contacted regarding your application status.

Note: We recommend completing this form on a computer rather than a mobile phone or tablet.

Full First Name

Last Name

Birthdate

Please Upload a forward facing photo of yourself. This will be used to assist our staff with familiarizing themselves with our volunteers and for fun shout-outs and recognition.

Mailing Address

Mailing City

Mailing State

Mailing Zip Code

Contact Information

Home (or Primary) Phone

Work Phone

Cell Phone

Email

Employment

Current Place of Employment

Position

Hours per week

How did you learn about becoming a Local Coordinator with American Councils?

Name of Referrer

Name of Program

Other

Questions

Please provide brief answers to the following questions. Feel free to provide additional comments.

How long have you lived in your community?

List any local clubs or organizations with which you are a member:

What is the name of your local high school?

What contacts do you have with your local high school?

Have you had any experience working with teenagers?

YesNo

Please describe:

Have you had any experience living abroad or interacting with foreign cultures?

YesNo

Please describe:

Have you had a previous affiliation in any way with Secondary School Student programs and/or international exchange students (i.e., hosting, placing, or monitoring exchange students)? If yes, please indicate the name of the sponsor that you were affiliated with and list the dates of your affiliation with that organization.

During the school year, how many hours per month can you spend coordinating for exchange students?

Do you have a means of transportation for visiting host families, students, and schools? Please comment:

What challenges or issues would you expect to assist students and host families in overcoming?

What interests you about becoming a local coordinator with American Councils?

Why do you believe you would be a good coordinator?

Have you had any contact with any child protective services agency in the past? If yes, please indicate when and for what reason(s).

Additional Comments:

Personal References

Please provide four references (non-relatives) from members of your community, as indicated below, who know you and can speak to your suitability and qualifications to serve as a local coordinator.

Someone with whom you work (non-relative)

Name

Relationship to you

How long has this person known you?

Email

Daytime Phone

Someone who has been in your home (non-relative)

Name

Relationship to you

How long has this person known you?

Email

Daytime Phone

Community Leader or School Representative who knows you (non-relative)

Name

Relationship to you

How long has this person known you?

Email

Daytime Phone

Other Reference (non-relative)

Name

Relationship to you

How long has this person known you?

Email

Daytime Phone

Background Screening

The U.S. Department of State requires that all local coordinators working with high school age participants complete a criminal background screening.

American Councils will send you an email in the next few days which will include a unique link you can follow to the Intellicorp Online Portal to start the background check. Please check your Spam or Junk folder. If you don't receive a confirmation email, email us to let us know.

Confirmation

I hereby confirm that the information I've provided above in this application is true and accurate.