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Construction Career Development Initiative Interest Form & Student Application
2019 CCDI Student Application
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GENERAL INFORMATION
First & Last Name *
Your answer
How old are you?
Your answer
I identify my gender as?
Your answer
I identify my race as?
Your answer
SCHOOL INFORMATION
What high school do you attend?
Your answer
What grade will you be in for the 2019-2020 school year?
Are you in Project Lead The Way (PLTW) or a Career Technical Education Class (CTE)?
List any extracurricular activities such as sports, clubs, groups you are involved with.
Your answer
On average, how would you say you preform in school?
What is your ideal Post-High School Plan? (Select all that apply)
CAREER PATHWAYS
Do any of these career pathways interest you? (Select all that apply)
Do any of these career pathways interest you? (Select all that apply)
Please elaborate on why you selected the career pathways above. List additional careers you are interested in.
Your answer
ADDITIONAL QUESTIONS
Why does the CCDI program appeal to you?
Your answer
Do you have any volunteer experience?
Are you currently employed?
If Yes, where do you work? Do you work on weekends?
Your answer
Do you have a Drivers License?
Do you have access to your own transportation?
CONTACT INFORMATION
Student Email Address *
Your answer
Student Cell Phone Number *
Your answer
Home Address *
Your answer
Parent/Guardian Cell Phone Number
Your answer
Parent/Guardian Email Address
Your answer
What is the preferred way to contact you?
Can you attend CCDI's Informational Night on May 1st at North Tech High School from 5:30-7:30pm?
Have you been on the CCDI website? If No, please visit at www.ccdi.org to learn more
Comments or Questions you have for CCDI?
Your answer
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