Junior Coder Admission Checklist Form
Complete the Junior Coder Admission Checklist Form to help us understand your readiness for our junior coding program. Please fill out all fields accurately for a smooth admission process.
Applicant Full Name
*
First Name
Last Name
Applicant Age
*
Parent or Guardian Name
*
First Name
Last Name
Parent or Guardian Email
*
example@example.com
Parent or Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Has the applicant participated in any coding classes before?
*
Yes
No
Preferred Coding Language(s) or Areas of Interest
*
Scratch
Python
Web Development
Robotics
Game Development
Other
Does the applicant have access to a computer or tablet for classes?
*
Yes
No
Preferred Class Time Slot
*
Please Select
Weekdays (After School)
Weekends (Morning)
Weekends (Afternoon)
Flexible/No Preference
Checklist: Please confirm you have completed the following steps
*
Completed application form
Uploaded recent school report (if available)
Confirmed device access
Reviewed program schedule
Discussed with parent/guardian
Additional Notes or Questions
Submit Application
Should be Empty: