NC Department of Health and Human Services

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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

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* Fields marked with an asterisk are required.
Date Submitted:
* First Name:
* Last Name:	If you can see this field, leave it blank.
REHS Number:
REHS Intern Number (not required for registration):
* Your work email:
* Phone Number:	Format: ###-###-####
* Date of Birth:	Format: mm/dd/yyyy
* Gender:
* Supervisor:
* Your Work Location:
* Session:	Select at least one session. Complete CIT course details: General Module (Virtual via Microsoft Teams) Public Swimming Pools Tattoo Private Drinking Water Wells Food Module (Virtual via Microsoft Teams) Child Care Centers and Schools Onsite Module
* Authorization Area: In what area will you be authorized? (ex. OSWP, Food, Pools, etc.):	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 =
Special Accommodations:	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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Updated: 01-05-2024

Centralized Intern Training and Authorization

CIT Registration

Additional Requirements

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Overview

Disclaimer