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To begin the journey of a lifetime, simply call us toll-free at 1-888-55-AYUSA, or fill out the application below.

AYUSA welcomes your application for the Community Representative position. If you have left a voice message with the AYUSA phone system or received a previous telephone interview, please do not complete the following form.

First Name


Last Name


Home Address


City


State


Zip



Primary Phone


Alternate Phone



When is the best time to reach you?


Email



How did you hear about AYUSA?
(Check all that apply)
TV
Radio
Newspaper Article
Newspaper Ad
Magazine Article
Magazine Ad
Internet Search Engine; if yes, please specify:
Internet News/Link; if yes, please specify:
Internet Ad; if yes, please specify:
Phone Call/Community Outreach
Event/Meeting Church
Event/Meeting Community
Event/Meeting School
Event/Meeting Key Club
Event/Meeting Kiwanis
Personal Contact AYUSA Representative
Personal Contact Host Family
Personal Contact Exchange Student
World Study Group Intrax
World Study Group AuPairCare
World Study Group World Travel

If other, please specify:



Have you ever worked with international exchange?
Yes
No

If yes, please name organization:



If you like, tell us a bit about yourself...