Application Form for Vision-Aid Python Programming Class
Which Semester are you applying for?
Spring Semester 2019 - March to June
Fall Semester 2019 - September to December 2019
2 Semester program - Interested in taking the course spread over Spring & Fall semester 2019
Prefer not to say
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?
Proficiency in spoken & written English
1 - least proficient, 10 - most proficient
Highest level of education completed
If Other please describe in following section
Please explain other education
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