JACK Mentoring Program Registration
Start your Mentoring Program registration. Kindly provide the following information and  make sure that all details are complete and accurate.
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Email *
Student's Last Name *
Student's Given Name *
Student's Age *
Birthday *
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School *
Contact Person *
Contact Number *
Student's Email Address *
The email address that will be used by the student during the mentoring program.
What is the programming language or the track/program that the student wishes to learn? *
What are the learning goals that the student wishes to achieve for this mentoring program? Why? *
Preferred Program *
Target Starting Date *
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Preferred schedule *
This is subject to the mentor's availability.
Submit
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