Hypatia Academy Student Interview Request Form

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Use this form to sign up to for an interview. We screen all candidates.

Email *

PARENTAL CONSENT Ask your parents to here to acknowledge that they give us permission to ask for your personal information on this Student Interview Request form and attend our online computer training classes. Then write that permission on a piece of paper and have them sign it. Then email it to werowe@walkerrowe.com. You cannot attend any classes without this permission. *

I give my child permission to supply the information on this form to Hypatia Academy and have emailed a signed copied of this permission to werowe@walkerrowe.com..

Name of Parent, email address, and phone number *

What is your name? *

Are you male or female? *

Male

Female

When is your birthdate? (Note that month comes before day in the form.) *

YYYY

Why do you want to study Python? *

phone number for instance messages

What messenger does your child use? *

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