CIT Application

Name

First NameLast Name

Email

example@example.com

Phone Number

Area CodePhone Number

Parent or Guardian Name (please use a parent or guardian who you are willing to have participate in the interview process)

First NameLast Name

Parent or Guardian Email

example@example.com

Parent or Guardian Phone

Please enter a valid phone number.

Are you currently attending high school?

yesno

What is the name of your current school?

As part of the application process, you will need to provide three references. Two should not be family members. Teachers, coaches, club leaders, and previous employers can all make good references.

Please list references below. You can submit an initial application with only one, but will need to provide two additional references in order for your application to be considered complete.

Please provide at least one email or phone number for each reference. Providing both is best if possible.

Reference 1 Full Name

First NameLast Name

Reference 1 Relationship To You

Reference 1 Email

example@example.com

Reference 1 Phone

Area CodePhone Number

Reference 2 Name

First NameLast Name

Reference 2 Relationship To You

Reference 2 Email

example@example.com

Reference 2 Phone

Please enter a valid phone number.

Reference 3 Name

First NameLast Name

Reference 3 Relationship to You

Reference 3 Email

example@example.com

Reference 4 Phone

Please enter a valid phone number.

Using at least two complete sentences, describe why you would like to participate in the CIT Program at Kimball Camp

Describe any skills or interests that you would like to bring to your role as a CIT

I understand that the CIT is a commitment of attending 1 week of paid training and a minimum of 3 additional weeks (up to 6 weeks) that I must arrange in advance with a camp director.

I understand

By signing below, I certify that I have read the description of the CIT program available at www.kimballcamp.com under the CIT tab, and would like to be a part of the program described.

Signature of Applicant

Clear

Signature of Parent or Guardian

Clear