Girls Learning Code Scholarship/Bursary Application

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What is your first and last name? *

What is your daughter/ward's first and last name? *

What is your relationship to the applicant? *

E.g. Mother, Father, Grandmother

How old will your daughter/ward be as of July 1, 2012? *

If your daughter's birthday is in July or August, please let us know the date.

What email address can you be reached at? *

This is how we will inform you of the results of your application.

What is the best phone number to reach you at during the day? *

What is the best phone number to reach you at in the evenings/on weekends? *

What is your home address? *

What school does your daughter/ward go to? *

Please explain how your daughter/ward will benefit from attending Girls Learning Code: *

Please explain why you are applying for a Girls Learning Code scholarship/bursary for your daughter/ward. *

We'd like your daughter/ward to answer this question: What interests you most about Girls Learning Code? *

The regular regatration fee for Girls Learning Code is $395 (plus tax). If necessary (since we have more partial scholarships/bursaries than full ones), how much are you able to contribute towards the camp registration fee? *

Thank you for answering these questions! You will be informed of the results as soon as possible.

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