Counselor In Training (C.I.T.) Application
Summer 2021
Applicant Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
Pronouns
Name of High School
Grade Entering Fall 2021
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Certifications
Please select all items for which you hold a valid certification that expires after August 15, 2021
CPR
First Aid
AED
Lifeguard
Other
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Scheduling
Training Week Preference
Week 1: June 13-18
Week 5: July 11-16
Shadow Week Preference (Must be AFTER training week)
Week 2: June 20-25
Week 3: June 27-July 2
Week 6: July 18-23
Week 7: July 25-30
Week 8: August 1-6
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Questions
Please Answer All Questions Below
Why do you want to join the C.I.T. program?
What is an experience that has helped to shape your faith?
What skills did you gain from the B.U.D.D.I.E.S. program that you hope to continue to develop?
What fictional character best describes you, and why?
We will need 1 reference from each applicant. It can be from a Faith Leader, School Mentor, or someone who knows you in a professional/educational manner. It CANNOT be a family member.
Reference Forms will be on the C.I.T. Page of the Luther Point Website. Have your reference fill out the form and submit it right after finishing your application.
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Parent/Guardians Name
First Name
Last Name
Relationship to Applicant
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Signature
Should be Empty: