K16 OCDE Registration - CyberForward

CyberForward HS Application (General)

Student Information

First Name

Last Name

Student Personal Email

Student School Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number

Birthdate (MM/DD/YYYY)

Birthplace

Language First Learned

Gender

Ethnicity

Parent/Guardian Information

First Name

Last Name

Parent/Guardian Phone Number

Parent/Guardian Work Phone Number

Parent/Guardian Email Address

School Information

School ID

High School

School District

Current Grade Level

Projected Graduation Year

Do you have 504 Plan?

Yes

Do you have an IEP?

Yes

Needs and Commitments

For online learning, you will need access to a computer, laptop, or Chromebook. Please respond by checking the box that best describes your situation.

I have access to a personal computer, laptop, or Chromebook.

I have a laptop or Chromebook that I have checked out from my home school.

I do NOT have access and will need to check out a Chromebook.

For online learning, you will need WiFi to access the internet. Please check the box that best describes your situation.

I have personal access to WiFi.

I have a WiFi hotspot checked out from my home school for internet access.

I do NOT have access and will need to check out a WiFi hotspot.

Students are required to attend and participate in all sessions. We reserve the right to dismiss students due to excessive absence, excessive tardiness, and other misbehavior.

I understand and agree

Application Questions

To be considered for the CyberForward program, please answer the following questions. Your response to each question must be a minimum of one paragraph.

Why are you interested in participating in CyberForward?

Why do you think you would be successful in a cyber security role?

By sending your response through this online application process, you are agreeing to the terms of this program, if selected.

I agree to the terms and commitments and look forward to this opportunity!