KBIA CIT Application
Please be sure to fill out this form in its entirity.The Counselor in Training Program is open to KBIA campers 13 to 14 years of age, or campers 13 by the end of the summer who have completed 7th grade. In addition to completing this form, you must also register for CIT sessions through the class registration process. Registration opens to all on April 15, 2021. CITs must enroll in at least two consecutive weeks, but we encourage CITs to take as many weeks as possible. CIT service hours are assigned based upon the needs of KBIA, and CITs should expect 12 or more service hours per week. KBIA will make every attempt to coordinate individual CIT’s service hours so they do not conflict with the CIT’s enrichment classes. PLEASE NOTE: Should there be limited capacity on KBIA's campus due to public health concerns related to COVID-19, the number of hours of service per week may be fewer than 12.
* Required
Email address
*
Your email
Full Name (and nickname, if applicable)
*
Your answer
Cell Phone
*
Your answer
CIT email address
*
Your answer
Parent Email
*
Your answer
Parent Cell Phone
*
Your answer
CIT's age as of 6/15/21
*
Choose
13
14
Date of Birth
*
MM
/
DD
/
YYYY
School attended this past year
*
Your answer
I participated in the CIT program at KBIA last summer.
*
Yes
No
WINTER Mailing Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Summer Mailing Address
*
Your answer
City
*
Your answer
Please identify the weeks for which you are registering:
*
Week 1: June 28-July 2
Week 2: July 5-9
Week 3: July 12-16
Week 4: July 19-23
Week 5: July 26-30
Week 6: August 2-6
Week 7: August 9-13
Week 8: August 16-20
Required
Below please identify the classes or programs you wish to serve.PLEASE NOTE: Service hours are assigned upon the needs of KBIA. CITs should expect 12 or more service hours per week. While not guaranteed, we will make every attempt to match CIT’s assignment with his or her interests and skills. A full list of classes and programs should be available at
www.kbia.net
by March 15, 2021. PLEASE NOTE: Should there be limited capacity on KBIA's campus due to public health concerns related to COVID-19, the number of hours of service per week may be fewer than 12.
*
Arts
Basketball
Beach Classes
Drama
Fishing/Critter Cruise
Golf
Kayaking
Leathercraft/Woodworking
Marine Biology
Nature
Pool
Reading
Stand Up Paddleboarding
Surfing
Tennis
Tent
Waterfront - Sailing
Required
Next
Never submit passwords through Google Forms.
This form was created inside of Kennebunk Beach Improvement Association.
Forms