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Young Women Tech Leaders Application Spring 2017
Congratulations on your interest in the Young Women Tech Leaders program! The program includes the following components:

• Computer programming classes
• Group mentorship events with female professionals in the technology industry on the following dates (all events are from 6:15-7:30 at UJA-Federation of New York, 130 East 59th Street, New York, NY):
- 2/8/17
- 3/22/17
- 5/10/17
• Optional one-to-one mentoring
• Summer Internship Opportunities

To begin the process you will need to fill out the following form. Once that is done, you will hear back from us shortly on the status of your application!

Name
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Street Address
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Apartment Number
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City
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State
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Zip Code
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Cell Phone
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Email
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Age
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Are you a high school student or a college student?
What is your field of interest?
Do you have any past coding experience?
If you have past coding experience, please explain.
Your answer
The program provides paid summer internships. Would you be interested in a summer internship in the technology industry or a related field?
The program will include the option for one-on-one mentorship. Are you interested in being matched with a mentor?
If yes, what skills would you be interested in developing with your mentor? (You may select more than one)
Are there any specific skills, qualities or strengths you would like in a mentor?
Your answer
Would you be able to bring your own computer to the class?
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