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NC Department of Health and Human Services
DPH Environmental Health Section
N.C. Public Health Home
 
 

Centralized Intern Training and Authorization

CIT Registration

Please complete and submit the form below to request registration for a CIT class. You will be contacted by CIT staff regarding your request/submission to finalize enrollment or make alternate plans. Successful submission does not guarantee a spot in class.

Additional Requirements

In addition to submitting registration for CIT, you must review the distance learning materials for each track you will be attending. There is no pre-test nor post-test for Tier II (General Module). However, the General Module of CIT is required for all REHS Interns! There are pre-tests for the distance learning materials in the FPF Track and the OSWP Track. The pre-tests are given on the first day of class and they are closed-book.


CIT Registration Form
* Fields marked with an asterisk are required.
Date Submitted:

If you can see this field, leave it blank.
REHS Number:
REHS Intern Number:
Format: ###-###-####
Format: mm/dd/yyyy
* Gender:
* Supervisor:

Select at least one session. Complete CIT course details: 2018 CIT Training Schedule, 2019 CIT Training Schedule.

General:

Food:

OSWP:



* Authorization Area:

In what area will you be authorized?


You may enter up to 250 characters.
Characters remaining =
Specific Cross-Training:

If you are cross-training and attending only a specific portion, please indicate which one:


You may enter up to 250 characters.
Characters remaining =

You may enter up to 250 characters.
Characters remaining =
Emergency Contact Information
* Name:
* Relationship:
* Phone:

Please provide at least one emergency contact number for the person above. Format: ###-###-####

Home:

Work:

Cell:

 

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