CIT Summer Leadership Program Registration Form

The CIT Summer Leadership Program is a paid internship program for students, ages 16-22.
Students turning 16 by June 1st, 2016 are eligible to apply. Students with CPR and lifeguard certification are prioritized. 

CIT Interns are required to take part in an first aid and safety training and must be available to work from July 5th to August 4th, 2017. Interns and will receive stipended pay and community service hours for their participation.

Form fields with * are required to register.
Please contact us if you have any questions.

Student Information

Month / Day / Year

Example: 718-555-1212

Email is the primary means of communication throughout the program. Be sure you check the email address you provide to us frequently. For Shore Corps and Environmentor, teens will be the point of contact for all program communication. Parent/Guardians will be copied upon request. Please do not use Scholar's Academy email addresses. If you do not have regular internet access, please let us know and we will work to accommodate you.

For summer, put your rising grade.

Emergency Contact 1

Emergency Contact 2

About You

Month / Year


Success Stories:

Meet Keneisha

As a champion for arts and science education, Keneisha brings to us a successful track record that ranges from her experience at the Brooklyn Museum to specialized hands-on learning. She has been a lead educator for RWA for over three years in environmental arts and urban gardening. Hear more about Keneisha's story.