Student Registration

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Thank you for your interest in participating in CREATE Mentoring, a program of the Construction Industry Education Foundation.

The CREATE Mentoring Program exists to educate and inspire high school students to pursue career pathways which are part of the built environment. During this year’s project, students will be tasked with researching, designing, engineering, and constructing a physical model of a new building or a substantial remodel of a current building for a nonprofit within their community.

Please complete all fields below in order to participate in this year's program. For questions when completing this form, please contact Viviana Castro-Martinez at vcastro-martinez@cie.foundation or 916.465.8348

Fall School Year *

2023

Required

First Name *

Middle Name

Last Name *

Street Address *

City *

State *

Zip Code *

Student Phone Number *

Parent Phone Number *

Student Email Address *

Parent Email Address *

Date of Birth *

YYYY

Gender *

Male

Female

Other:

Ethnic Origin (check all that apply) *

American Indian or Alaskan Native

Asian (Not Hispanic or Latino)

Black or African American (Not Hispanic or Latino)

Hispanic or Latino

Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)

White or Caucasian (Not Hispanic or Latino)

Other:

Required

Type of High School *

Public

Private

Charter

Name of High School Where I am Participating in CREATE *

Current Cumulative GPA *

Current Grade Year *

Freshman / 9th Grade

Sophomore / 10th Grade

Junior / 11th Grade

Senior / 12th Grade

Other:

Expected Graduation Year *

Industry Interests (Check all that apply) *

Architecture & Design

Carpentry

Construction Management

Electrical

Engineering

Interior Design

Landscape

Masonry

Welding

Other:

Required

How Many Years Have You Been a Participant of CREATE? *

This will be my first time participating

This will be my second year participating

This will be my third year participating

This will be my fourth year participating

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