Student Registration
Thank you for your interest in participating in CREATE Mentoring, a program of the SRBX Construction Industry Education Foundation.

The CREATE Mentoring Program exists to educate and inspire high school students to pursue career pathways which are part of the built environment. During this year’s project, students will be tasked with researching, designing, engineering, and constructing a physical model of a new building or a substantial remodel of a current building for a nonprofit within their community.

Please complete all fields below in order to participate in this year's virtual program. For questions when completing this form, please contact Katie Carbone at kcarbone@cie.foundation or 916.465.8346.
School Year *
Required
First Name *
Middle Name
Last Name *
Street Address *
City *
State *
Zip Code *
Student Phone Number *
Parent Phone Number *
Student Email Address *
Parent Email Address *
Date of Birth *
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/
DD
/
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Gender *
Ethnic Origin (check all that apply) *
Required
Type of High School *
Name of High School Where I am Participating in CREATE *
Current Cumulative GPA *
Current Grade Year *
Expected Graduation Year *
Industry Interests (Check all that apply) *
Required
How Many Years Have You Been a Participant of CREATE?
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