Application Form for Vision-Aid Python Programming Class
Personal Information
Email address *
First Name *
Last Name/Surname *
Age *
Which Semester are you applying for? *
Gender *
Phone *
Please enter telephone with STD code. Enter numbers only, no special characters
Name of contact person *
Please enter name of parent/guardian/friend who we can contact.
Relationship to contact person *
Please enter the relationship to the contact person.
Phone Number of contact person *
Please enter telephone of parent/guardian/friend with STD code. Enter numbers only, no special characters
Are you currently a student? *
If you are a student and answered yes to the previous question, provide the name of school/college and which course or study and class you are currently enrolled in
If you are working, what is your occupation? *
Location(City) *
Languages Spoken
Proficiency in spoken & written English *
1 - least proficient, 10 - most proficient
Least
Most
Highest level of education completed *
If Other please describe in following section
Please explain other education
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