Online Coding and Social Skills Free Pilot Interest Form
Coding Autism is currently looking for students on the autism spectrum ages 13-24 to sign up for our online coding and social skills pilot. If you are under 18 years of age, please have your parent or guardian fill out the interest form. Pilot will begin in October and last 4-6weeks.
Are you 18 years of age or older?
If you answered NO above, a parent or guardian needs to fill out the rest of the form. Parent or Guardian's Full Name.
Your answer
Student's First Name
Your answer
Student's Last name
Your answer
Email Address
Your answer
Age Group of Student
Can you (student) communicate verbally?
Which program are you interested in? You may check more than one.
Required
Have you (student) taken any other coding programs?
For our online program, we will be using either Google Hangouts or Zoom. Do you (student) have experience using these video conference tools?
Can you commit to attending the program between 1-1.5hrs/week live online for approximately 4-6 weeks? Course will be held between 3-7pm Pacific Time during the weekday.
Which times work best for you? Check all that work for you.
Required
Location (City, State)
Your answer
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