How did you hear about the Tech Workforce Program?

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* 1. How did you hear about the Tech Workforce Program?

Whats your name?

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* 2. Whats your name?

Whats your age?

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* 3. Whats your age?

What is your gender?

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* 4. What is your gender?

What is your preferred phone number?

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* 5. What is your preferred phone number?

What is your preferred email address?

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* 6. What is your preferred email address?

What is your zip code?

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* 7. What is your zip code?

What is highest level of education obtained?

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* 8. What is highest level of education obtained?

Are you currently employed?

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* 9. Are you currently employed?

What is your annual salary range?

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* 10. What is your annual salary range?

Do you have access to transportation to attend weekly classes?

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* 11. Do you have access to transportation to attend weekly classes?

If you have taken any online coding classes, please share name(s).

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* 12. If you have taken any online coding classes, please share name(s).

If you’ve already built some websites or programming projects, share them with us! You can link your GitHub profile, Codeacademy profile, or personal website/blog.

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* 13. If you’ve already built some websites or programming projects, share them with us! You can link your GitHub profile, Codeacademy profile, or personal website/blog.

Briefly describe why Tech Workforce Program is a good fit for you and your goals. The more descriptive you are, the better!

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* 14. Briefly describe why Tech Workforce Program is a good fit for you and your goals. The more descriptive you are, the better!

What is the one goal or objective you wish to accomplish by participating in the Tech Workforce Program?

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* 15. What is the one goal or objective you wish to accomplish by participating in the Tech Workforce Program?

Do you own your own laptop? In this case, Chromebooks don't count! Mac, Windows, or Linux only, please.

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* 16. Do you own your own laptop? In this case, Chromebooks don't count! Mac, Windows, or Linux only, please.

Do you feel comfortable typing quickly and efficiently for extended periods of time?

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* 17. Do you feel comfortable typing quickly and efficiently for extended periods of time?

All applicants must attend a FREE 90-minute hands-on Informational Meeting. Please select the session you will attend:

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* 18. All applicants must attend a FREE 90-minute hands-on Informational Meeting. Please select the session you will attend:

If you are selected to participate in class, are you willing to pay a $100 deposit to participate? Deposit will be returned if you successfully complete the class. Deposit will be forfeited if you don't complete the class.

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* 19. If you are selected to participate in class, are you willing to pay a $100 deposit to participate? Deposit will be returned if you successfully complete the class. Deposit will be forfeited if you don't complete the class.

Thank you for filling out our application! You’ll get a confirmation email with more information shortly.

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* 20. Thank you for filling out our application! You’ll get a confirmation email with more information shortly.

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