Digital Inclusion Center at Pitt’s Community Engagement Center in the Hill District Sign-Up
First Name (of participant) *
Last Name (of participant) *
Street Address *
City *
Zipcode *
Email Address *
Phone Number *
Gender Identity *
Ethnicity *
Do any of the following apply to you? Check those that do. *
Required
What operating system does your computer use? *
What browser do you normally use? *
My current income is: *
What age group do you best fit into? *
What classes are you interested in taking? *
Required
As a part of enrolling in the above programs, I understand that I am granting permission for photographs and/or videos to be captured during session activities: * *
Required
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