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 unless we reach out to ask you to provide updated references. Once you have completed this process, I will send your adults a link to register for camp.
Name
*
First Name
Last Name
Preferred Name
Pronouns
*
CIT's Email
*
Parent/Guardian Name
*
Parent/Guardian Email
*
Parent/Guardian Phone Number
*
Fall 2024 Grade Level
*
Please Select
7th
8th
If you are entering 9th grade in the Fall of 2024, please fill out the counselor form.
Birthday
*
-
Month
-
Day
Year
Date
School
*
Did you attend Girls Rock Math as a camper?
*
Please Select
yes
no
Have you been a CIT at Girls Rock Math before?
*
Please Select
yes
no
Home Address
*
Street Address
Street Address Line 2
City
State / 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.
Reference 1 Name
First Name
Last Name
Reference 1 Email
example@example.com
Reference 2 Name
First Name
Last Name
Reference 2 Email
example@example.com
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Next
Submit
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 area/areas could you participate as a CIT this summer?
*
North Seattle
Central Seattle
South Seattle
West Seattle
Shoreline
Eastside
Which leadership camp sessions would you be able to participate in?
*
Session 1: July 8-19
Session 2: July 22-Aug 2
Session 3: August 5-16
T Shirt Size
*
Please Select
Small
Medium
Large
XL
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?
Please Select
yes
no
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