Girls Who Code at Binghamton University
Thank you for your interest in Girls Who Code Club at Binghamton University. This form confirms your official application for the Spring 2021 session, which will be held exclusively online.
We look forward to hearing from you!
* Required
Student Full Name (First and Last)
*
Your answer
Student email address
*
Your answer
Parent Full Name (First and Last)
*
Your answer
Parent email address
*
Your answer
Phone number (Parent)
*
Your answer
What grade are you in?
*
Your answer
With our new online format, we don't want our girls to miss out on GWC swag! Please provide us with your address so that we can send you swag during the semester.
Street address (ex: 40 Blossom Road)
*
Your answer
City (ex: Albany)
*
Your answer
State (ex: New York)
*
Your answer
Zip Code (ex: 1204)
*
Your answer
What school do you attend?
*
Your answer
How did you hear about us?
*
Friend
Family
Teacher/School Administration/Fliers at School
Google/Ads
Facebook
Instagram
Radio
Returning student
Other:
What is your adult unisex T-shirt size?
*
XS
S
M
L
XL
XXL
Other:
Submit
Never submit passwords through Google Forms.
This form was created inside of Binghamton University.
Report Abuse
Forms
