Construction Career Development Initiative Student Application
Email address *
GENERAL INFORMATION
First & Last Name *
Your answer
Date of Birth *
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YYYY
Gender
Your answer
Ethnicity
Your answer
SCHOOL INFORMATION
What high school do you attend? *
Your answer
What grade are you currently in? *
Are you in Project Lead The Way (PLTW) or a Career Technical Education (CTE) class?
List any extracurricular activities such as sports, clubs, or 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 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.
Your answer
ADDITIONAL QUESTIONS
Why are you interested in joining the CCDI Program? *
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 Driver's License?
Do you have access to your own transportation?
If NO, do you have a parent, guardian, or family member who assists in transporting you?
CONTACT INFORMATION
Cell Phone Number *
Your answer
Home Address *
Your answer
Parent/Guardian Email Address
Your answer
Parent/Guardian Cell Phone Number
Your answer
What is the preferred way to contact you? (select all that apply) *
Required
How did you hear about CCDI?
Your answer
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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