Registration Form Jan - CyberForward

Fall Application - CyberFwd

CyberForward Fall 2023 Application

Program Details:
September 12th- December 15th
Tuesday and Thursdays from 4:30-6:30 pm
100% Virtual

Dear Student,
If you are interested in participating in Fall CyberForward's Program, please complete and submit this application form.

Application Deadline: Thursday September 7th, 2023 at 11:59 pm PST.

Successful applicants will be notified by Friday September 8th, 2023.

Thank you for your application and GOOD LUCK!

First Name

Last Name

Student Personal Email

Student School Email

Birthday

Birth Place

Language first learned

Projected Graduation Year

School ID

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone/Mobile

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Work Phone Number

Parent/Guardian Email Address

School Information

School District

High School

Current Grade Level

9th

10th

11th

12th

Gender

Male

Female

Other

Do you have a 504 Plan

Yes

Do you have a IEP

Yes

Needs and Commitments

For online learning, you will need access to a computer, laptop, or Chromebook Tuesday and Thursdays from 4:30-6:30 pm, September 12th, 2023-December 14th, 2023. 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 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

This program is scheduled to begin on September 12th-December 15th, class is held on Tuesday-Thursdays. The official program schedule is from 4:30-6:30 pm. Students are required to attend and participate in all sessions. We reserves the right to dismiss students from the program due to excessive absences, excessive tardiness, and other misbehavior.

I understand and agree

Interest Form

In order to be considered for the CyberForward class, please answer the following two questions. Your response to each question must be a minimum of one paragraph.

1. Why are you interested in participating in the CyberForward class?

2. 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. Applicants will be notified by September 8th if they have been accepted into the class.

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