Travel Experiences
*Have you ever lived outside the US?	No Yes
Where did you live?
How long did you live there?	Less than 1 year 1 to 2 years 2 to 5 years Longer than 5 years
Professional Information
*Job Title/Position:
*Current profession type:	Arts Business Education Government Law/Public Affairs Medical/Health Non Profit Science/Engineering Trade/Technical Other
*Company:
*Current company type:	Corporation School/University Government Non Profit Small Business Trade/Technical Other
Choose all catagories you would like to share your experiences in:
*	Arts Business Education Government Law/Public Affairs Medical/Health Non Profit Science/Engineering Trade/Technical Other
If other:
Choose all degree types you have:
*	Associates Bachelors Masters Doctorial/Professional Certification/License
Choose the colleges you have attended
*Colleges:	Available Selected Air Force Institute of Technology (OH) American University (DC) Antioch College (OH) Arizona State University (AZ) Art Academy of Cincinnati (OH) Ashland University (OH) Auburn University (AL) Baldwin-Wallace College (OH) Baylor University (TX) Belmont Technical College (OH) Bluffton College (OH). Boston College (MA) Boston University (MA) Bowling Green State University (OH) Brandeis University (MA) Brigham Young University.Provo (UT) Brown University (RI) California Institute of Technology (CA) Capital University(OH) Carnegie Mellon University (PA) Case Western Reserve University (OH) Catholic University of America (DC) Cedarville College (OH) Central Ohio Technical College (OH) Central State University (OH) Chatfield College (OH) Cincinnati Bible College and Seminary (OH) Cincinnati State Technical and Community College (OH) Circleville Bible College (OH) Clark State Community College (OH) Clark University (MA) Clarkson University (NY) Clemson University (SC) Cleveland College of Jewish Studies (OH) Cleveland Institute of Art (OH) Cleveland Institute of Electronics (OH) Cleveland Institute of Music (OH) Cleveland State University (OH) College of Mount Saint Joseph (OH) College of William and Mary (VA) Colorado School of Mines (CO) Colorado State University (CO) Columbia University (NY) Columbus College of Art and Design (OH) Columbus State Community College (OH) Cornell University (NY) Cuyahoga Community College (CCC) (OH) Dartmouth College (NH) David N. Myers College (OH) Defiance College (OH) Denison University (OH) Drexel University (PA) Duke University (NC) Duquesne University (PA) Edison State Community College (OH) Emory University (GA) ETI Technical College (OH) Florida State University (FL) Fordham University (NY) Franciscan University of Steubenville (OH) Franklin University (OH) George Washington University (DC) Georgetown University (DC) Georgia Institute of Technology (GA) Harvard University (MA) Heidelberg College (OH) Hiram College (OH) Hocking Technical College (OH) Howard University (DC) Illinois Institute of Technology (IL) Indiana University (IN) IUPUI (IN) Iowa State University (IA) Jefferson Technical College (OH) John Carroll University (OH) Johns Hopkins University (MD) Kent State University (OH) Kenyon College (OH) Lake Erie College (OH) Lakeland Community College (OH) Lehigh University (PA) Lima Technical College, Lima, (OH) Lorain County Community College, Elyria (OH) Louisiana State University.Baton Rouge (LA) Lourdes College (OH) Loyola University Chicago (IL) Malone College (OH) Marietta College (OH) Marion Technical College (OH) Marquette University (WI) Massachusetts Institute of Technology (MA) Medical College of Ohio (OH) Miami University(OH) Miami-Jacobs (OH) Michigan State University (MI) Michigan Technological University (MI) Missouri University of Science & Technology (MO) Mount Union College (OH) Mount Vernon Nazarene College (OH) Muskingum Area Technical College (OH) Muskingum College (OH) New Jersey Institute of Technology (NJ) New York University (NY) North Carolina State University.Raleigh (NC) North Central Technical College (OH) Northeastern Ohio Universities College of Medicine (OH) Northeastern University (MA) Northwest State Community College (OH) Northwestern College (OH) Northwestern University (IL) Notre Dame College of Ohio (OH) Oberlin College (OH) Ohio Northern University (OH) Ohio State University.Columbus (OH) Ohio University (OH) Ohio Wesleyan University (OH) Old Dominican College (OH) Otterbein College (OH) Owens State Community College (OH) Pennsylvania State University (PA) Pepperdine University (CA) Princeton University (NJ) Purdue University.West Lafayette (IN) Rensselaer Polytechnic Institute (NY) Rice University (TX) Rutgers, the State University of New Jersey.New Brunswick (NJ) Samford University (AL) Shawnee State University (OH) Sinclair Community College (OH) Southern Methodist University (TX) Southern Ohio College (OH) Southern State Community College (OH) St. Louis University (MO) Stanford University (CA) Stark Technical College (OH) Stevens Institute of Technology (NJ) SUNY College of Environmental Science and Forestry (NY) Syracuse University (NY) Terra State Community College (OH) Texas A&M University.College Station (TX) Texas Christian University (TX) The College of Wooster (OH) The Ohio State University (OH) The Pontifical College Josephinum (OH) The Union Institute (OH) The University of Toledo (OH) Tiffin University (OH) Tufts University (MA) Tulane University (LA) University at Buffalo.SUNY (NY) University of Akron (OH) University of Alabama (AL) University of Arizona (AZ) University of Arkansas (AR) University of California (CA) University of Chicago (IL) University of Cincinnati (OH) University of Colorado.Boulder (CO) University of Connecticut (CT) University of Dayton (OH) University of Delaware (DE) University of Denver (CO) University of Findlay (OH) University of Florida (FL) University of Georgia (GA) University of Illinois.Urbana-Champaign (IL) University of Iowa (IA) University of Kansas (KS) University of Kentucky (KY) University of Maryland.College Park (MD) University of Massachusetts.Amherst (MA) University of Miami (FL) University of Michigan.Ann Arbor (MI) University of Minnesota.Twin Cities (MN) University of Missouri (MO) University of Nebraska.Lincoln (NE) University of New Hampshire (NH) University of North Carolina.Chapel Hill (NC) University of Notre Dame (IN) University of Oklahoma (OK) University of Oregon (OR) University of Pennsylvania (PA) University of Pittsburgh (PA) University of Rio Grande (OH) University of Rochester (NY) University of San Diego (CA) University of San Francisco (CA) University of South Carolina.Columbia (SC) University of Southern California (CA) University of Tennessee (TN) University of Texas.Austin (TX) University of the Pacific (CA) University of Tulsa (OK) University of Utah (UT) University of Vermont (VT) University of Virginia (VA) University of Washington (WA) University of Wisconsin.Madison (WI) Urbana University (OH) Ursuline College (OH) Vanderbilt University (TN) Virginia Tech (VA) Wake Forest University (NC) Walsh University (OH) Washington State Community College (OH) Washington State University (WA) Washington University in St. Louis (MO) Wilberforce University (OH) Wilmington College (OH) Wittenberg University (OH) Worcester Polytechnic Institute (MA) Wright State University (OH) Wright State University (OH) Xavier University (OH) Yale University (CT) Yeshiva University (NY) Youngstown State University (OH)   Air Force Institute of Technology (OH) American University (DC) Antioch College (OH) Arizona State University (AZ) Art Academy of Cincinnati (OH) Ashland University (OH) Auburn University (AL) Baldwin-Wallace College (OH) Baylor University (TX) Belmont Technical College (OH) Bluffton College (OH). Boston College (MA) Boston University (MA) Bowling Green State University (OH) Brandeis University (MA) Brigham Young University.Provo (UT) Brown University (RI) California Institute of Technology (CA) Capital University(OH) Carnegie Mellon University (PA) Case Western Reserve University (OH) Catholic University of America (DC) Cedarville College (OH) Central Ohio Technical College (OH) Central State University (OH) Chatfield College (OH) Cincinnati Bible College and Seminary (OH) Cincinnati State Technical and Community College (OH) Circleville Bible College (OH) Clark State Community College (OH) Clark University (MA) Clarkson University (NY) Clemson University (SC) Cleveland College of Jewish Studies (OH) Cleveland Institute of Art (OH) Cleveland Institute of Electronics (OH) Cleveland Institute of Music (OH) Cleveland State University (OH) College of Mount Saint Joseph (OH) College of William and Mary (VA) Colorado School of Mines (CO) Colorado State University (CO) Columbia University (NY) Columbus College of Art and Design (OH) Columbus State Community College (OH) Cornell University (NY) Cuyahoga Community College (CCC) (OH) Dartmouth College (NH) David N. Myers College (OH) Defiance College (OH) Denison University (OH) Drexel University (PA) Duke University (NC) Duquesne University (PA) Edison State Community College (OH) Emory University (GA) ETI Technical College (OH) Florida State University (FL) Fordham University (NY) Franciscan University of Steubenville (OH) Franklin University (OH) George Washington University (DC) Georgetown University (DC) Georgia Institute of Technology (GA) Harvard University (MA) Heidelberg College (OH) Hiram College (OH) Hocking Technical College (OH) Howard University (DC) Illinois Institute of Technology (IL) Indiana University (IN) IUPUI (IN) Iowa State University (IA) Jefferson Technical College (OH) John Carroll University (OH) Johns Hopkins University (MD) Kent State University (OH) Kenyon College (OH) Lake Erie College (OH) Lakeland Community College (OH) Lehigh University (PA) Lima Technical College, Lima, (OH) Lorain County Community College, Elyria (OH) Louisiana State University.Baton Rouge (LA) Lourdes College (OH) Loyola University Chicago (IL) Malone College (OH) Marietta College (OH) Marion Technical College (OH) Marquette University (WI) Massachusetts Institute of Technology (MA) Medical College of Ohio (OH) Miami University(OH) Miami-Jacobs (OH) Michigan State University (MI) Michigan Technological University (MI) Missouri University of Science & Technology (MO) Mount Union College (OH) Mount Vernon Nazarene College (OH) Muskingum Area Technical College (OH) Muskingum College (OH) New Jersey Institute of Technology (NJ) New York University (NY) North Carolina State University.Raleigh (NC) North Central Technical College (OH) Northeastern Ohio Universities College of Medicine (OH) Northeastern University (MA) Northwest State Community College (OH) Northwestern College (OH) Northwestern University (IL) Notre Dame College of Ohio (OH) Oberlin College (OH) Ohio Northern University (OH) Ohio State University.Columbus (OH) Ohio University (OH) Ohio Wesleyan University (OH) Old Dominican College (OH) Otterbein College (OH) Owens State Community College (OH) Pennsylvania State University (PA) Pepperdine University (CA) Princeton University (NJ) Purdue University.West Lafayette (IN) Rensselaer Polytechnic Institute (NY) Rice University (TX) Rutgers, the State University of New Jersey.New Brunswick (NJ) Samford University (AL) Shawnee State University (OH) Sinclair Community College (OH) Southern Methodist University (TX) Southern Ohio College (OH) Southern State Community College (OH) St. Louis University (MO) Stanford University (CA) Stark Technical College (OH) Stevens Institute of Technology (NJ) SUNY College of Environmental Science and Forestry (NY) Syracuse University (NY) Terra State Community College (OH) Texas A&M University.College Station (TX) Texas Christian University (TX) The College of Wooster (OH) The Ohio State University (OH) The Pontifical College Josephinum (OH) The Union Institute (OH) The University of Toledo (OH) Tiffin University (OH) Tufts University (MA) Tulane University (LA) University at Buffalo.SUNY (NY) University of Akron (OH) University of Alabama (AL) University of Arizona (AZ) University of Arkansas (AR) University of California (CA) University of Chicago (IL) University of Cincinnati (OH) University of Colorado.Boulder (CO) University of Connecticut (CT) University of Dayton (OH) University of Delaware (DE) University of Denver (CO) University of Findlay (OH) University of Florida (FL) University of Georgia (GA) University of Illinois.Urbana-Champaign (IL) University of Iowa (IA) University of Kansas (KS) University of Kentucky (KY) University of Maryland.College Park (MD) University of Massachusetts.Amherst (MA) University of Miami (FL) University of Michigan.Ann Arbor (MI) University of Minnesota.Twin Cities (MN) University of Missouri (MO) University of Nebraska.Lincoln (NE) University of New Hampshire (NH) University of North Carolina.Chapel Hill (NC) University of Notre Dame (IN) University of Oklahoma (OK) University of Oregon (OR) University of Pennsylvania (PA) University of Pittsburgh (PA) University of Rio Grande (OH) University of Rochester (NY) University of San Diego (CA) University of San Francisco (CA) University of South Carolina.Columbia (SC) University of Southern California (CA) University of Tennessee (TN) University of Texas.Austin (TX) University of the Pacific (CA) University of Tulsa (OK) University of Utah (UT) University of Vermont (VT) University of Virginia (VA) University of Washington (WA) University of Wisconsin.Madison (WI) Urbana University (OH) Ursuline College (OH) Vanderbilt University (TN) Virginia Tech (VA) Wake Forest University (NC) Walsh University (OH) Washington State Community College (OH) Washington State University (WA) Washington University in St. Louis (MO) Wilberforce University (OH) Wilmington College (OH) Wittenberg University (OH) Worcester Polytechnic Institute (MA) Wright State University (OH) Wright State University (OH) Xavier University (OH) Yale University (CT) Yeshiva University (NY) Youngstown State University (OH)
Choose the languages you can speak
Languages:	Available Selected Spanish French German Italian Japanese Chinese Other   Spanish French German Italian Japanese Chinese Other
Choose your hobbies and special interests
Hobbies:	Available Selected Reading Fishing Gardening Playing team sports Swimming Golf Computer activities Walking Exercise (aerobics, weights) Traveling Music Movies Boating Hunting Sewing/crocheting Bicycling Sleeping Hiking Eating out/dining out Shopping Crafting Camping Church/church activities Watching sporting events Cooking Entertaining Painting Running Woodworking Playing music Bowling Working on cars Animals/pets   Reading Fishing Gardening Playing team sports Swimming Golf Computer activities Walking Exercise (aerobics, weights) Traveling Music Movies Boating Hunting Sewing/crocheting Bicycling Sleeping Hiking Eating out/dining out Shopping Crafting Camping Church/church activities Watching sporting events Cooking Entertaining Painting Running Woodworking Playing music Bowling Working on cars Animals/pets
Choose all programs you have been involved with:
	AmeriCorps PeaceCorps Mentoring Tutoring Other volunteering
Other Information
*Upload your resume:
Are you the first in your family to go to college?	No Yes
Who reffered you to the CYC?
*How would you like to be involved?	Small Groups (6 students or less) Medium Groups (6-15 students) Large Groups (15 or more students) Panel Group (Volunteer with several others to share info/answer questions)
*Is your schedule flexible?	No Yes
Personal/Professional Website
	* denotes required field