CIT Reference Form

A printable version of this form can be viewed here.

• Applicant

• Your Name:*
• Applicant's Name:*
• Your relationship to the applicant:*
• Years known:*

• Applicant's qualities

  On a scale of 1 to 10 (1 being the least, 10 being the most), please rate the applicant for the following:
• Emotional Maturity*
  12345678910
• Communication Skills*
  12345678910
• Teachability*
  12345678910
• Positive Attitude*
  12345678910
• Honesty*
  12345678910
• Cooperation/Ability to work well with others*
  12345678910
• Energy/Enthusiasm*
  12345678910
• Responsibility*
  12345678910
• Ability to relate to youth*
  12345678910
• Leadership*
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• Respect for authority*
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• What are this applicant's three greatest strengths?*
• What are this applicant's three greatest areas for growth?*
• On a scale of 1 to 10 (1 being the least, 10 being the most), how strongly would you recommend this applicant for our CIT Program?*
  12345678910
• Any additional comments:

• Contact Information

• Name*
  First Last
• Email*
• Phone*
• School/Business*

• Signature

• *
  • By checking this box and signing below I indicate that the information provided on this application is true and complete. I understand that any false or misleading representations or omissions may disqualify the applicant from further consideration for the program and may result in discharge if discovered at a later date. I understand that completion of this application does not assure the applicant of a position with Main IDEA. I also understand that neither this application nor any other document constitutes a contract of employment for a specific term.
• Date*
  MM slash DD slash YYYY
• Signature*

Submit