School ICT Enrollment Report
Please complete this form to enroll in the school's ICT program. All fields are required for accurate enrollment reporting.
Student's Full Name
*
First Name
Last Name
Student ID (if applicable)
Grade/Year
*
Please Select
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other
ICT Course/Program Enrolling In
*
Please Select
Basic ICT Skills
Computer Science
Digital Literacy
Robotics
Coding/Programming
Other
Has the student previously participated in an ICT program?
*
Yes
No
Student's Email Address
*
example@example.com
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does the student require a school-provided device (laptop/tablet)?
*
Yes
No
Additional Notes or Special Requirements
Submit Enrollment
Should be Empty: