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

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* 2. Whats your name?

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* 3. Whats your age?

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* 4. What is your gender?

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* 5. What is your preferred phone number?

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* 6. What is your preferred email address?

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* 7. What is your zip code?

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* 8. What is highest level of education obtained?

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* 9. Are you currently employed?

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* 10. What is your annual salary range?

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

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

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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.

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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!

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

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

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

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

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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.

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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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