Code For Life
Summer Web Basics Mondays - Thursdays (Harlem)

July 8, 2019 - July 11, 2019
July 15, 2019 - July 18, 2019
July 22, 2019 - July 25, 2019
July 29, 2019 - August 1, 2019
August 5, 2019 - August 8, 2019
August 12, 2019 - August 15, 2019
August 19, 2019 - August 23, 2019

If you have any questions please contact Chris or Brandon.

Chris Troy Brandon Baah
(917) 405-3612 (347) 698-6464
ctroy@codeforlife.us bbaah@codeforlife.us


Email address *
Applicant First Name *
Applicant Last Name *
Age *
Address *
Applicant Gender *
What is the applicant's tee shirt size? *
What school does the applicant attend? *
What grade are you currently in? *
Have you ever done coding or scratch? *
Student Section
Do you play an instrument, sing, or dance? If so, what? *
Student Section
Have you developed or created anything? (Art, ideas, websites, mechanics)? *
Student Section
Do you like puzzles? *
Student Section
Besides playing games and surfing the web, what else have you done with your phone? *
Student Section
What’s your favorite board game? *
Student Section
On the scale of 1 to 5 how much do you like math? *
Student Section
Do you have access to a computer at home? *
Student Section
Do you have a cell phone? *
Student Section
Please attach most recent report card
Student Section
How did you learn about Code For Life? If a specific person or organization please print name. *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service