CIT Application Page

CIT Applicant's Full Name *

First

Last

Date of Birth (DOB) *

Current School *

CIT Email Address *

Telephone *

of School Parent's

Parent's Name *

First

Last

Parent's Email *

Parent's Telephone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Schedule Week Commitment *

Why Do You Want to Be a CIT? *

Program Fee

Price: $50.00

The program fee is $50. Fee to be submitted via zelle or check upon acceptance into the program.

Confirmation: Please note that valid working papers and a valid medical form are required prior to the program start.