Black Girls CODE: Scholarship Form
Please complete this form in order to be considered for a scholarship to attend a Black Girls CODE event or workshop. If you are requesting a scholarship for multiple girls, please complete a form for each one.
IMPORTANT: Scholarship applications do not guarantee a secured ticket to participate in the workshop. If you are awarded a scholarship and it is claimed, your attendance at the event in question is required. Failure to attend may make you ineligible for future scholarship awards.
Parent/Guardian First Name:
Parent/Guardian Last Name:
Parent Information: Email Address
A valid email address is required
Parent Information: Home phone # or Cell #
Student First Name:
Student Last Name:
Age of participant:
Relationship to student:
For which event would you like to receive a scholarship?
If the event is not on the list, that means we are no longer able to offer scholarships.
Houston - Build a webpage in a Day - April 4
Dallas - Learn Python Programming - March 7
Memphis - Teach, Play, and Learn with Artificial Intelligence - March 28
Seattle - Learn Python Programming - March 14
Atlanta: Sphero - February 8
Houston - Learn Python Programming - February 22
Chicago - AI February 1
Los Angeles - Build Mobile App in a Day - March 21
Detroit - Learn Python Programming - March 28
Bay Area - Learn Python Programming - April 18
Seattle - Build a webpage in a Day - April 18
How did you hear about this Black Girls CODE event?
Community/ Partner Organization
Friend/Word of Mouth
How many Black Girls CODE events has the student attended in the past?
<20,000 per year
20,000- 40,000 per year
40,000-60,000 per year
60,000- 80,000 per year
80,000-100,000 per year
100,000 + per year
Use the space below to write one to two sentences explaining why you are applying for a financial need based scholarship:
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This form was created inside of Black Girls Code.