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LA Spring Virtual Tech Workshop Series Application with AOT + LAUL
Want to learn the basics to becoming a web developer in just 5 weeks? Apply below!
Applications are now open for our 5-week virtual tech workshop series via Zoom. The workshop series will cover topics in web development (HTML, CSS, JavaScript) and sections on UX design and Podcasting. Each session will take place on Tuesday or Thursday from 4:00 p.m. - 6:00 p.m. PST (you choose the day that works for you below!). All participants (high school students between the ages of 14-19 years old) who are selected will receive technical training and a certificate for their participation and completion of the program.
Submit this application form by the indicated deadline to be considered.
*No coding or technology experience required*
VIRTUAL TECH WORKSHOP SERIES: May 4 - June 3, 2021 from 4:00 p.m. - 6:00 p.m. (only open to 15-19 year olds)
DEADLINE: Friday, April 23, 2021 at 11:59 p.m. PST
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Email
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Your email
Which day of the week do you plan to attend?
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TUESDAYS (May 4 - June 1, 2021 from 4:00 p.m. - 6:00 p.m. PST)
THURSDAYS (May 6 - June 3, 2021 from 4:00 p.m. - 6:00 p.m. PST)
Your First Name
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Your answer
Your Last Name
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Your answer
Your Email Address
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Your answer
Address & Apt Number
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Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Cell Phone Number
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Your answer
With which gender(s) do you most identify? Please select all that apply.
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Woman
Man
Genderqueer / Genderfluid / Gender non conforming
Non-binary
Agender
Other
Prefer not to say
Required
Do you identify as LGBTQIA+?
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Yes
No
Prefer not to say
Other:
Required
With which race and/or ethnicity do you most identify? Please select all that apply.
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American Indian or Alaskan Native ( a person having origins in any of the original people of North and South America including Central America
Asian (a person having origins in any of the original peoples of the Far East, South East Asia, or the Indian Subcontinent examples include: Cambodia, China, Indian, Japan, Korea, Malaysia, Pakistan, Philippines, Thailand, Vietnam)
Black or African American (a person having origins in any black racial groups of Africa and the Caribbean)
Caribbean (a person from a Spanish speaking or Non-Spanish speaking country in the Caribbean region including Guyana)
Latino/Latina/Latinx (a person that has origins in Cuba, Mexico, Puerto Rico or a Spanish speaking country within South America, Central America or the Caribbean)
Middle Eastern (also includes Morocco, Tunisia, Algeria, Libya, & Egypt)
Native Hawaiian or Other Pacific Islander (a person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands)
White (a person having origins in any of the original peoples of Europe)
Prefer not to say
Other
Required
Are you currently enrolled in school?
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Yes
No
High School Name (put n/a if you are not currently enrolled in school)
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Your answer
How old are you?
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Choose
14
15
16
17
18
19
DOB
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MM
/
DD
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YYYY
What grade are you currently enrolled in?
9th
10th
11th
12th
Other:
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Do you have a laptop or computer to participate in this program?
Yes, I have a laptop / computer.
No, I do not have a laptop / computer.
Other:
Clear selection
Household Size
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Choose
1
2
3
4
5
6+
Household Annual Income
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Choose
<$10,000
$10,001-$25,000
$25,001-$50,000
$50,001-$75,000
$75,001-$100,000
$100,001 or greater
Does anyone in your household receive public benefits (i.e. SNAP, unemployment benefits, SSI/SSD, etc.)
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Yes
No
Not sure
Are you currently enrolled in an individual education plan (IEP)?
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Yes
No
Not sure
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