R.I.S.E. Tech Immersion Program

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R.I.S.E. Tech Immersion Program - WAITLIST

Registration is now CLOSED for the Fall 2024 Cohort (TIP9). You may continue with this registration to be put on the WAITLIST for the next cohort (date TBD). Thank you for your interest!

What is your first name? *

What is your last name? *

What email address should we use to contact you? *

What is your phone number?

What is your home address?

What city do you live in?

What state do you live in?

How old are you?

What is your gender?

Male

Female

Other

What is your race/ethnicity?

American Indian or Alaska Native

Asian

Black or African American

Hispanic, Latino or Spanish

Native Hawaiian or Other Pacific Islander

White

Other:

Please select the following. Check all that apply.

I have a computer with a working webcam and mic

I have a stable internet/wi-fi connection

I have a zoom account

I am in an environment where I can use a camera

I will need access to a computer with a camera

I will need a stable internet/wi-fi connection

I will need a zoom account

I am not in an environment where I can use a camera

Required

Please rate technical skills on a scale of 1 (low) to 5 (high).

Low

High

Are you willing to be mentored?

Yes

Not Sure

How did you hear about the program?

Have you experienced any hardship or challenges in any of the following areas? Please select all that apply.

Previously incarcerated

Currently on electronic monitoring

Impacted by violence

No or low technical skills/knowledge

Have made or thought about making violent choices, impacting yourself or others

None of the above

Required

Our classes will be held on Saturdays from 10am - 2pm Central Time for six (6) consecutive weeks. Will you be able to attend class during this timeframe?

Yes, I am available to attend classes on Saturdays from 10am - 2pm Central Time

No, I am not available to attend classes on Saturdays from 10am - 2pm Central Time.

I'm not sure at the moment.

If you cannot attend the classes on the days/times mentioned above, when would be a better time for you to attend? Select all that apply.

Mornings

Afternoons

Evenings

Not Available

Mondays

Tuesdays

Wednesdays

Thursdays

Clear selection

You may also register to attend individual courses or all six courses. You must attend all six to qualify for the program stipend (and you meet the program criteria). How do you plan to attend?

I will be attending individual courses

I will be completing all six courses

Are you a returning alumni? (Have you graduated from a prior Tech Immersion cohort and received a stipend?) *

Yes, I am an alumni (I graduated and received a certificate)

No, this is my first time attending the program

I've attended before but I did not finish and did not receive a stipend

I'm attending as a guest or to just take a few classes (I will not need a stipend)

Thank you for your responses. Please press SUBMIT to complete your registration.

Submit

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