Young Tech Innovator — A CAICC Program (K–12)

An engaging technology and innovation program for students in Kindergarten through Grade 12, designed to build technology skills, spark creativity, strengthen problem-solving abilities, and develop essential life skills through hands-on learning and practical experiences.

Be part of the Young Tech Innovator Program and turn your ideas into possibilities!

This form collects student and parent/guardian information for participation in our Young Tech Innovators Program. Information will be used for eligibility verification, program participation, and reporting for approved funding partners including Denver Foundation, CHF, DPS, and MySpark.

Student Information

Student Full Name *

Other Child's Name

Age *

Other:

Current School Name *

School District *

Is your school part of Denver Public Schools (DPS) *

Yes

Date Of Birth *

Residency Verification

Full Home Address (Street, City, State, Zip) *

Do you currently live in the City & County of Denver? *

Yes

Have you lived in Denver for at least 6 months? *

Yes

Parent/Guardian Information

Parent / Guardian Name (if under 18) *

Parent / Guardian Email *

Parent / Guardian Phone Number *

How did you hear about us?

Parent/Guardian Consent Form

Youth Wellness & Mentorship Consent :Do you give permission for your child to participate in CAICC’s youth wellness sessions, counseling, and staff-supervised individual or group mentorship activities, in accordance with CAICC safety guidelines? *

Yes

Photo & Media Release : As part of CAICC's programs and activities, we may capture photos, videos, or other recordings of participating children. These materials may be used to showcase program activities, share success stories, highlight student achievements, and communicate CAICC's impact through our website, social media, publications, and reports. Do you authorize CAICC to use photos, videos, or other recordings featuring your child for these purposes? *

Yes

Consent Statement:

By submitting this form, I give permission to the Colorado African Innovation & Cultural Center (CAICC) to collect and securely store my information for program participation, eligibility determination, and reporting purposes related to youth programming and funding partners including Prosperity Denver Fund and MySpark. Information will not be sold and will only be shared with licensed providers and approved partners directly involved in service delivery. *

Yes