SCHOLARSHIP to learn to code

We envision a world where people from all backgrounds can become full and active contributors to tomorrow’s society through the use of technology.

The objective of teaching these young people coding is excite them to pursue STEM – Science, Technology, Engineering, and Math based careers by way of Computer Science studies Research has shown that Computer Programming has one of the lowest graduation and employment rates for women, people of color and people with disabilities.

Eligible students must be ages 7-18 and must have parental consent when applying for the scholarship.
The applicant may receive a full or partial scholarship.

If you are awarded a scholarship, we ask you:

Attendance and punctuality in all classes.
Pictures of your student when they are coding.
Video testimonial about your experience.

We will use it on our social media and website.

Seleccione el curso / Select the curse. *

Yo soy / I am a *

Madre o Padre / Parent *

First

Last

Email de madre o padre / Parent Email *

Teléfono de madre o padre / Parent Phone *

Dirección / Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Estudiante / Student *

First

Last

Fecha de Nacimiento del Estudiante / Student's Date of Birth *

Student Age / Edad del Estudiante *

Género del Estudiante / Student Gender *

Female - Femenino
Male - Masculino
Otro - Other
Prefiero no responder - Prefer not to answer

Etnia del estudiante / Student Ethnicity *

Estudiante habla / Student speaks *

Spanish and English
Spanish
English

Ingresos familiares anuales en $ / Annual Household incomes $ *

¿Cuántas personas viven en su hogar? / How many people live in your home? *

¿Qué idioma es el que más hablan en su hogar? / What is the PRIMARY language spoken in your home? *

Los padres del estudiante hablan / The student's parents speak *

Spanish and English
Spanish
English

¿El Estudiante tiene discapacidad? / Does the student has disability? *

¿Tiene una computadora, laptop, cámara web, teclado y mouse? / Do you have a computer, laptop, webcam, keyboard and mouse? *

Si / Yes
No / No

¿Tiene conexión a internet? / Do you have an internet connection? *

Esta de acuerdo en pagar el precio de beca parcial para acceder al curso / You agree to pay the partial scholarship price to access the course *

¿Su hija(o) ha recibido anteriormente la beca? / Has your child previously received the scholarship? *

Si / Yes
No / No

Su respuesta no limitara opcion para recibir becas/ Your answer will not limit your option to receive scholarships?

¿Cómo se enteró de Club Ability? / How did you come to hear about Club Ability?

Waiver: Club Ability tomará fotografías y videos en las clases. Estas serán usadas en nuestras redes sociales, página web, etc. / Waiver: Club Ability will take photos and videos in the classes. These will be used in our social networks, website, etc. *

I agree yo/ Yo acepto

Yo acepto / I agree to. *

¿Quieres apoyar a un estudiante de bajos recursos a ser un creador de tecnología?. Añade $15 a tu compra e impacta / Do you want to support a low-income student to be a creator of technology? Add $15 to your purchase and make an impact *

Quiero donar / I want to donate
En otro momento / At another time

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