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Coding Registration (Thurs. 7:30 - 9:30PM from 6/30 to 8/4/22)
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Email
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Your email
Student First Name
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Your answer
Student Middle Initial (Enter "X" if you have no middle name)
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Your answer
Student Last Name
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Your answer
STUDENT'S Cellphone # (you MUST reply to our text msg within 24 hours to complete your registration. You MAY provide Instagram/Facebook ID instead if you do NOT own a cellphone)
Your answer
How did you hear about this course?
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Your answer
Name of Student's School:
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Your answer
Your Current Grade (as of Fall 2021). [Min 8; enter 13 if Graduated HS]
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Your answer
Please check ANY of the following which MIGHT interest you as a potential career (Try to pick at least one before selecting NONE)
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Accounting / CPA
Auto Mechanic
Computer Programming or Data Science
Education ( Teacher / Teaching Assistant)
Electrician
Finance (Financial analyst or "Wall Street" job)
Health Care (Nursing, PA, MD, Occ. Therapist, Dentist, Pharmacist, Medical Technician)
Insurance Underwriter
Mathematics / Actuarial Science
Marketing / Advertising / Media / Communications
Plumber
Police Officer or Firefighter
Video/Computer Game Designer ("Game Science")
Sorry, none of these choices interests me.
Required
Approximately how many hours per week do you spend on SCHOOL-related extracurricular activities? Round to nearest WHOLE number.
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Your answer
Approximately how many hours per week do you spend on OTHER (not school-affiliated) extracurricular activities? Round to nearest WHOLE number.
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Your answer
Parent/Guardian name (First & Last):
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Your answer
Parent/Guardian email address:
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Your answer
Residence Address (include Apt #; skip zip code) or enter NONE if no permanent residence :
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Your answer
Residence Zip Code: (enter 00000 if None)
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Your answer
Does your family...
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Live here for free (Gov't or others pay for it)
Rent this residence
Own this residence
How many years have you lived in your CURRENT state (usually NY, BUT not always) ? Round to nearest year.
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Your answer
Check ALL items below for which you qualify :
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Free school lunch
Reduced price school lunch
SAT exam fee waivers (do NOT check for NYC's SAT school day; "everyone" gets that).
Excelsior (Free SUNY/CUNY tuition if Family Income <$125,000):
https://on.ny.gov/2iyLbU6
I do not qualify for any of these (space permitting, you're still welcome here :)
Required
Which best describes the HIGHEST education level of your parent(s) / guardian(s)?
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Neither one attended high school
Some high school education for one or both of them
At least one has a high school degree
At least one attended some college
One has an associate's (typically 2 year) degree
One has a bachelor's (typically 4 years) degree
One has a bachelor's degree AND the other attended some college
Both have bachelor's degrees
One has a bachelor's degree; one has a master's degree or higher
One parent has a master's degree or higher
Both parents have master's degrees or higher
Family's Primary Vehicle (Year, Make, Model. Ex: "2016 Honda CRV"). Write "NONE" if your family owns no automobiles.
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Your answer
How can you access the Internet at home (check ALL which apply):
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Cell Phone
Ipad or other tablet device
Laptop computer
Desktop computer
I cannot access the internet at home
Required
"I certify that all of the above answers are true, to the best of my knowledge. If attending in-person class, I agree not to hold Covenant Church PCA (or any of its members) responsible for any potential COVID-19 related incidents which could impact me directly or indirectly. "
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Yes, I agree
No, I disagree
A copy of your responses will be emailed to the address you provided.
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