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Which class would you like to register for?*

The IT Training track caters to students that like problem-solving and troubleshooting. This track builds core skills in both hardware and software operations. Students will learn how to build a PC, configure device operating systems and hardware, troubleshoot and support systems, infrastructure and networking, and security skills.

Front-End Web Development is best catered to students that have an interest in both website coding as well as programming browsers, servers, and databases. In addition to acquiring knowledge and skills in HTML and CSS, students will also become proficient in programs such as Python and JavaScript.⁠

Students that enjoy video games and are interested in developing their own ideas or concepts will benefit from the Video Game Development track. This track walks the student through the stages to code and produce a successful video game utilizing C# and the real-time development tool, Unity.⁠

Why are you interested in this program?*

How did you hear about our upcoming classes? If other, please specify.*

If other, please specify.*

Name*

Email*

Phone*

Address*

With which gender do you most identify?*

The Geek Foundation does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations.

Male

Female

Transgender Female

Transgender Male

Gender Variant/Non-Conforming

Prefer Not to Answer

Other

If other, please specify.*

Which race/ethnicity best describes you?*

American Indian or Alaskan Native

Asian / Pacific Islander

Black or African American

Hispanic American

White / Caucasian

Other

If other, please specify.*

Are you a U.S. citizen or have been in the U.S. for more than five years and meet qualified alien status?*

Yes

Do you have a social security number or are applying for one?*

Yes

Confirm the last four digits of your social security number.*

Birthdate*

What is your marital status?*

Married

Divorced

Widowed

Single (Never Married)

Separated

What is your highest level of education?*

Some high school, no diploma

High school graduate, diploma or the equivalent

Some college credit, no degree

Trade/technical/vocational training

Associate degree

Bachelor’s degree

Master’s degree or higher

Other

If other, please specify.*

Do you have a valid driver's license?*

Are you currently employed?*

Part-time

Full-time

Unemployed

Disabled

Have you lost your job in the last three months?*

Yes

Was your displacement from employment due to COVID-19?*

Yes

What is your current or previous field of employment?*

What is your approximate annual gross household income?*

The Geek Foundation strives to offer our programs to persons from low socioeconomic households based on the 2022 federal poverty guidelines. https://aspe.hhs.gov/poverty-guidelines

How many people are in your household?*

Are you the parent or custodian of any children under the age of 18 that are currently residing with you?*

Yes

How many children living in your household are you the parent or custodian of?*

Are you currently pregnant?*

Yes

Prefer not to say

Will you require childcare during class hours?*

Yes

What is the range of your credit score?*

Have you been convicted of a felony?*

The conviction of a crime or any affirmative answer provided by you may not automatically exclude you from acceptance into The Geek Foundation's classes and/or programs.

Yes

If you answered "Yes" to "Have you been convicted of a felony?", please explain.*

What is your tech experience level?*

If other, please specify.*

Which types of technologies and trainings are you interested in?*

Do you have reliable access to a computer in your home?*

Yes

Do you have reliable access to the Internet in your home?*

Yes

Full Name*

Today's Date*

Let’s connect

Contact Vanessa Bussie with questions.

vanessa@thegeekfoundation.org

Power up your inner geek

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