Code Nation School Application Form
Thanks for your interest in bringing Code Nation to your school!

Code Nation ( equips students in under-resourced high schools with the skills, experiences and connections that together create access to careers in technology.

Our program starts with a Foundations course, a twice-weekly web development class held on-site at your school and taught by professional web and software developers on a volunteer basis. Students who complete the first-year course are eligible to enroll in advanced courses that take place after-school at companies' offices, and paid summer internships where they can gain professional coding experience and work with role models in the field.

Our program is a full year program, spanning 2 continuous semesters (September-June). We expect an enrollment of at least 20 and no more than 30 students for this full course. Our Foundations course is intended for sophomores and juniors.

Please complete the form below so we can assess whether your school would be a good match for our program. Please contact us at with questions about the application or to learn more about our programs.
Sign in to Google to save your progress. Learn more
Name of School *
School Address *
Region *
School's Neighborhood and Cross Streets *
Grade Levels Served *
Contact Name *
Contact Title *
Contact Email *
Contact Phone Number *
Approximately how many students attend your school? *
Free/Reduced Price Lunch Percentage *
Please note that Code Nation only partners with schools where at least 75% of the student population qualifies for free or reduced price lunch.
Your school is interested in hosting Code Nation's classes...
Clear selection
What time does your school day typically start? *
What time does your school day typically end? *
Use this space to tell us anything else we might need to know about your school schedule.
Does your school offer computer science classes during the school day? *
What after school programming is currently offered at your school? *
Will the school be able to provide a dedicated liaison to help support Code Nation's program? *
Does the school have a computer lab? A push cart of laptops? Please tell us more about access to technology at your school. *
How many computers are available for use for Code Nation's class? *
What operating system is installed on the computers (Windows, Mac OS, Linux, etc...)? *
How reliable/fast is your school's internet connection? *
Is there an IT staff member available in case of hardware/software problems? What is the normal turnaround time for fixes? *
Are students able to access computers or the computer lab after school or on days when Code Nation will not be in session? *
Please tell us more about your school and why you think a partnership with Code Nation might be a good fit for your students! *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Code Nation, Inc.. Report Abuse