CIT Interest Form

CIT Interest Form

Thanks for your interest in the Girls R.O.C.K. Leadership Program! Please complete all areas of this form. Once I contact your references, I will reach out to schedule an interview. If you have been a CIT with Girls Rock Math before, you do not need to provide references or interview. Once you have completed this process, I will send your adults a link to register for camp.
Name*

First NameLast Name
Preferred Name
Pronouns*
CIT's Email *
CIT's Phone Number (if you have one)
Parent/Guardian Name*
Parent/Guardian Email*
Parent/Guardian Phone Number*
Fall 2025 Grade Level*
CITs are rising 7th and 8th graders. If you are entering 9th grade in the Fall of 2025, please fill out the counselor form.
Birthday*

MonthDayYear
Date
School*
Did you attend Girls Rock Math as a camper?*
Have you been a CIT at Girls Rock Math before?*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
References

Please provide 2 references that can speak to your responsibility and leadership qualities. This could be teachers, coaches, parents of children you've babysat, etc. If you were a CIT last year, you can skip this section.
Reference 1 Name

First NameLast Name
Reference 1 Email
example@example.com
Reference 2 Name

First NameLast Name
Reference 2 Email
example@example.com

Summer Availability

Being a CIT at Girls Rock Math is a 2 week commitment because of the structure and curriculum of the leadership program. Please indicate any weeks and locations that you would be able to participate in this summer. I will communicate via email to schedule specific weeks and a location with you.
Which leadership camp sessions would you be able to participate in?*

Session 1: July 7-18 (no Crossroads)Session 2: July 21-Aug 1Session 3: August 4-15 (no Maple Leaf, Rainier, or Redmond)
Please indicate your top 3 choices of camp location. Reference the locations page on our website linked here: https://www.girlsrockmath.org/locations.php
Please indicate below if more than three locations would work for you and list them
T Shirt Size*
There are no extra smalls or youth sizes available in staff shirts.
Would you like to receive a scholarship form to apply for a scholarship for the $350 cost of camp?
Should be Empty:

References