WAAW FOUNDATION CODE SCHOOL APPLICATION FORM
Thank you for your interest in our Summer Code school bootcamp for African school students (Boys and Girls)

The 2019 Code School is organized by WAAW (Working to Advance STEM Education for African Women) Foundation, a non-profit organization whose mission is to increase the pipeline of African Women entering STEM fields.

Interested participants should kindly fill out all the information fields.
Date: 12th - 30th August, 2019
Time 9am - 4pm daily
Venue: Abuja : Suite T14, 3rd Floor, Febson Mall, Herbert Macaulay Way, Zone 4, Abuja.
Lagos: 3rd floor, 117 Apapa road, (Off Costain), Ebute Metta, Lagos Nigeria

Like us on Facebook at http://www.facebook.com/waawfoundation to receive latest updates on when decisions are made and candidates are selected. Shortlisted candidates will be contacted directly via email.

Code school flier
Student's Name *
Your answer
Student's Phone Number *
Your answer
Student's Email *
Your answer
Address/ State/ Country *
Your answer
Age *
Your answer
Gender *
Which of the WAAW code school do you want to attend? *
Do you have a laptop? *
Participants are required to bring a laptop
Name of School Currently Attending *
Your answer
School Address *
Your answer
Class or Grade *
What was your academic position in your class last term (e.g 5th out of 40)? *
Your answer
Type of School You Attend *
How did you hear about our Code school? *
Required
CODE SCHOOL FEE
Our code school costs 30,000 Naira. If you are accepted, you will be required to make payment prior to the start date, unless you are offered a full scholarship. Payment information will be provided to you once we confirm your admission.
Will you be applying for a full or partial Scholarship? Please note that there are limited scholarships and requiring a scholarship may limit your chances of acceptance into the program. * *
If you plan to apply for a scholarship, tell us why and explain your need for the scholarship to attend the Code School. *
Max. 100 words
Your answer
Photo and Video Agreement
I grant WAAW Foundation the right to use photographs or videos of me in connection with the foundation's related and identified events and marketing campaigns.

I authorize WAAW Foundation and their assigns the right to copyright, use and publish the same in print and/or electronically.

I agree that WAAW Foundation may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, marketing, social media and Web content.

I have read and understand the above:

I have read and understand the above Photo and Video agreement and grant WAAW foundation the permission to use my photo and/or video? *
Signature (Your printed names - First and Last Name in Block letters) *
Your answer
Health Information *
Do you have any medical conditions which may, under stress or duress, require immediate medical attention during your participation in the program, e.g., epilepsy, heart trouble, asthma, ulcers, hemophilia, diabetes, past illness?
If yes, What is the condition we need to know about?
Your answer
PARENT/GUARDIAN CONSENT
This section must be filled by your Parent or Guardian only.
Name of Parent/Guardian *
Your answer
Relationship with student (Father, Mother, Uncle, Aunt etc) *
Your answer
Email *
Your answer
Phone number *
Your answer
Do you give consent to your daughter/ward to participate in our Code School? *
Signature (Your printed names - First and Last Name in Block letters) *
Your answer
Submit
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