Construction Career Development Initiative Student Application
Email *
GENERAL INFORMATION
First & Last Name *
Date of Birth *
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Gender
Ethnicity
SCHOOL INFORMATION
What high school do you attend? *
What grade are you currently in? *
Are you in Project Lead The Way (PLTW) or a Career Technical Education (CTE) class?
Clear selection
List any extracurricular activities such as sports, clubs, or groups you are involved with.
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 the following career pathways interest you? (select all that apply)
Do any of the following 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.
ADDITIONAL QUESTIONS
Why are you interested in joining the CCDI Program? *
Do you have any volunteer experience?
Clear selection
Are you currently employed?
Clear selection
If YES, where do you work? Do you work on weekends?
Do you have a Driver's License?
Clear selection
Do you have access to your own transportation?
Clear selection
If NO, do you have a parent, guardian, or family member who assists in transporting you?
CONTACT INFORMATION
Cell Phone Number *
Home Address *
Parent/Guardian Email Address
Parent/Guardian Cell Phone Number
What is the preferred way to contact you? (select all that apply) *
Required
How did you hear about CCDI?
Thanks for expressing interest in joining CCDI. We will contact you shortly. If you have any questions please email, rachelboemer@ccdi.org or text 314-258-2460
A copy of your responses will be emailed to the address you provided.
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