CHCI | Register Now!

Welcome! Your future starts at CHCI.

Register Now!

In order to begin the CHCI online application process you will need to take the following steps:

Step One: Disable your computer’s “pop-up” blocker setting for the CHCI application
website on your internet browser
Once you click the continue button after filling out the personal profile, there is a
pop up message and you must confirm your information before you can proceed

Step Two:       Complete your personal profile
General information about yourself

Step Three:    A verification email will be sent to the email address you listed
                        on your personal profile
                        Once you have clicked on the email link and verified your account, you may log into the
                        online application system and continue the application process

Step Four: Proceed to filling out the CHCI program-specific application
According to the information you have filled out on your personal profile, the system
will inform you what you are eligible to apply for

Note: Red asterisks (*) signify required responses

PERSONAL INFORMATION
First Name *
Middle Name
Last Name *
Gender *	Male Female
SSN *	- - This SSN has been used.
Primary Phone *	( ) - -
Secondary Phone	( ) - -

PERMANENT ADDRESS (Home Address)
Country *
Address *
Apt/Unit/Other
City *
State *
Zip/Postal Code *

CURRENT ADDRESS
Is your current address the same as your permanent address
Country *
Address *
Apt/Unit/Other
City *
State *
Zip/Postal Code *


Yes, I would like to receive e-mail from CHCI

Are you a past CHCI Program Participant?	Yes No


How did you hear about the program? Please select all that apply. *	Website Guidance Counselor/Academic Advisor Magazine/Newspaper Ad CHCI Representative Student Organization Former CHCI Participant Educational Institution Radio Email College Campus Presentation

LOGIN
Email Address *	This email name has been used.
Confirm Email Address *
Password *
Confirm Password *


* Required Fields

Important: By filling out the profile, you have not applied for a CHCI Program. To continue the application process you must receive a verification e-mail and log back into apply.