Thank you for your interest in the Web Development Bootcamp for Rural Youth! 

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* 1. Contact Information

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* 2. Can you confirm that you are between the ages of 18-30 and meet the eligibility requirements for this program, as noted on the BC Tech website?

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* 3. Can you confirm that you live in a rural area of British Columbia, which has a population less than 100,000?

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* 4. Please confirm your employment status

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* 5. What was your last occupation and what sparked your interest in this program?

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* 6. Please explain how you have been impacted by COVID-19

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* 7. How did you hear about this program?

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