Counselor in Training (CIT) Program Request
Please reserve sometime to complete this CIT survey. There are some questions that may take a few minutes to answer.
Session Interest
Please rank your preference in session and location
1st Choice
2nd Choice
3rd Choice
Kiwanis June 16 - July 2
Kiwanis July 7 - July 23
Kiwanis July 28 - August 13
Many Point June 18 - July 22
Many Point July 16 - August 19
Phillippo June 16 - July 16
Phillippo July 21 - August 13
Stearns weekends June 10 - August 6
Tomahawk June 11 - July 7
Tomahawk July 2 - July 28
Tomahawk July 23 - Aug 18
Area(s) of Interest
Rate your comfort level in the following areas. (1=Uncomfortable, 5=comfortable)
1
2
3
4
5
Water/Lifeguarding
Climbing/Heights
Public Speaking/Leading Songs
Teaching Scouting Skills
Ecology/Nature
Horses/Animal Care
Shooting Sports
Basic Informantion
First Name
Your answer
Last Name
Your answer
Age
Please select the age bracket you will fit into. You must be 15 years old by the start of your session to CIT at Tomahawk or Many Point - 14 at Kiwanis, Stearns, Phillippo and Navajo.
Home Phone Number
Use XXX-XXX-XXXX Format
Your answer
Parent Cell Phone or Daytime Phone Number
Use XXX-XXX-XXXX Format
Your answer
Email Address
Your answer
Parent's or Guardian's Email Address
Your answer
Street Address
Please write out all abbreviations.
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Scouting Background
Describe your Scouting Experience
# of years in program, offices held, achievements, and awards
Your answer
Unit Type
Council Name (if one is known)
Ex: Northern Star Council, Voyageurs Area, Samoset
Your answer
District Name
Ex: Chief Black Dog, Three Rivers, Many Waters, etc.
Your answer
Unit Number
If you are in Northern Star Council be sure to use your 4 digit unit number. Ex: 9435 or 3212
Your answer
How have you shown leadership outside of Scouting?
Your answer
What are the important things you have learned from your leadership experiences?
Your answer
What other activities do you like to do?
(In school, church, hobbies, etc.)
Your answer
How has Scouting been important in your life?
Your answer
How do you think a CIT helps Scouts and troops at camp?
Your answer
Why do you want to be a Counselor In Training?
Your answer
What do you expect to learn while being a CIT?
Your answer
Applicant's Signature
Type your name below
Your answer
Parent Signature
Parent's Approval: I hereby approve my child's/ward's application as a Counselor in Training.
Your answer
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