Sign-Up Form: Technology Training Program

This free program is currently being offered to local youth, ages 16-19 years old to learn fundamental skills in coding, AI, and career development. The course is project based, and required attendance at Nevada Partner's STEM lab at least 1x per week, open Mon-Fri 2-5pm.

How did you hear about the program?

My school

Nevada Partners Staff

Previous Student

Social Media

Other

Student Full Name *

Student Phone # *

Student Email *

Zip code *

Age *

Select from drop-down

16
17
18
19
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This refers to the person who is participating. If you are applying on behalf of a minor, please add the minor's information

Gender *

Male

Female

Non-binary

Prefer not to say

This refers to the person who is participating. If you are applying on behalf of a minor, please add the minor's information

Contact Information: Legal Parent/Guardian

This refers to the person who is participating. If you are applying on behalf of a minor, please add the minor's information

Legal Parent/Guardian's Full Name

Legal Parent/Guardian's Phone Number

Legal Parent/Guardian's Email

Participants will be required to attend once a week from 2:00 PM - 5:00 PM. Which day would you or the interested party be able to attend? *

Monday

Tuesday

Wednesday

Thursday

Friday

Would the interested party need transportation to The STEM Center? *

Yes

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