Belleair Counselor -In-Training 2017 Application
Applications are due by Monday, April 24, 2017
Mandatory CIT training is Tuesday, May 23 from 6:00-8:00 pm. Please dress in comfortable clothes and tennis shoes. (No sandals or flip flops, please)
If you are a new applicant, interviews may be conducted between May 8 and May 12.
CIT's Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Age
Required
CIT's Email Address
Your answer
CIT's Phone Number
Your answer
CIT's Address
Address, City and Zip
Your answer
CIT's T-Shirt Size
List all known allergies:
If none type N/A
Your answer
Special medical or dietary needs:
If none type N/A
Your answer
Medication requirements:
If none type N/A
Your answer
1st Parent/Guardian Name:
Your answer
1st Parent/Guardian Phone:
Your answer
1st Parent/Guardian email:
Your answer
2nd Parent/Guardian Name:
Your answer
2nd Parent/Guardian Phone:
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Townofbelleair.net. Report Abuse - Terms of Service - Additional Terms