The Kids' League Counselor-In-Training Application Form
Our Counselor-In-Training (CIT) program is for teens age 13 to 15 who want to develop their leadership skills and gain experience working with children. Supervised by our Summer Program Director and Assistant Director, teens work hands-on to assist group counselors, teach activities, and plan special events. The CIT program is designed to develop the skills necessary to be an effective leader and role model.
Name of CIT
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Emergency Contacts
*
Education Level
*
6th Grade
7th Grade
8th Grade
Freshman - 9th Grade
Sophomore - 10th Grade
Junior - 11th Grade
Senior - 12th Grade
School Name
*
Birth Date
*
-
Month
-
Day
Year
Date
How did you find this CIT program?
*
Brochures
Google
Facebook
Twitter
Instagram
Other
Please list one reference that the Kids' League can call.
First Name
Last Name
-
Area Code
Phone Number
Select the weeks you will be attending. $100 per week
Pre Summer Week (June 20th-24th)
Week 1 (June 27th-July 1st)
Week 2 (July 5th-8th)
Week 3 (July 11th-15th)
Week 4 (July 18th-22nd)
Week 5 (July 25th-29th)
Week 6 (August 1st-5th)
Week 7(August 8th-12th)
Week 8(August 15th-19th)
Week 9 (August 22nd-26th)
Why do you want to be a CIT in this program?
*
Please tell us your other experiences working with children(if any).
*
What are your interests?
*
What are your skills?
*
ie. Graphic Design, Social Media
Evidence of physical exam in the last year
Browse Files
Cancel
of
Evidence of MMR vaccine(usually on physical exam report)
Browse Files
Cancel
of
Proof of Education-Either latest report card of diploma
Browse Files
Cancel
of
Please select payment option.
Auto Pay through tuition express (KL will send a form once they receive your registration)
Check
Cash
CIT Signature
*
Parent/Guardian Signature
*
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: