CMI Application Fa2022-Sp2023 Applicant Information Question Title * 1. What is your name? (as it appears on your drivers license or passport) First Name Middle Name Last Name Preferred First Name Question Title * 2. Have you used other names in employment or school enrollment? Yes No If yes, please list name(s) here: Question Title * 3. Gender: Male Female Question Title * 4. Date of Birth (Enter as MM/DD/YYYY; to be a CMI, you must be between the ages of 21-27 on August 1, 2022. If your age falls outside of this parameter, please contact your director who will ask Clayton Bullion for an exception) Question Title * 5. What are the last 5 (yes, FIVE) digits of your Social Security Number? Question Title * 6. What is your country of citizenship? Question Title * 7. If you are NOT a US citizen, do you have the following documents? Social Security Card with DHS authorization DHS Employment Authorization Card I do not have these documents but have begun the application process for them (if you have not started the work visa application process, please do so right away) Next
