Online Interview Questionnaire Form

CIT Leadership Program Application

Momentum³
Personal Information
Full Name*

First NameMiddle NameLast Name
Age*
Grade*
School
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Questions and Details
Have you ever been a CIT?

YesNo
If so, when and where?Type text
Why do you want to be a CIT?
Do you have any experience working with children? If so, what has it taught you?
What personal traits make you a good CIT?
Do you have experience as a leader? If so, what has it taught you?
Who do you consider a role model? What makes them a good role model?
How would your teachers describe you?
What do you think campers want from their CIT?
Do you have any special skills or talents that may be useful as a CIT?
Please list two non-family references:
I certify that the above is true. I understand that selection into the CIT Leadership Program is based on this application.
Applicant Signature

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Date

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Date
The fee for this program is $395 - Payments are not confirmed until applicant has been accepted. To complete the program CITs are required to register for two weeks.
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CIT Leadership Program Application