ADMISSIONS APPLICATION
First Name*
Last Name*
Phone*
Email*
Home Address*
City*
State*
Zip*
Birthdate*
Seeking to enroll term beginning*
June 14, 2021
September 13, 2021
October 11, 2021
November 8, 2021
January 10, 2022
February 14, 2022
March 14, 2022
April 11, 2022
May 9, 2022
June 13, 2022
Tell us about your prior education (what schools you have attended, degrees you have achieved*
Which of the following best describes your programming experience?
No experience: but I'm excited to start learning
Beginning learner: I've played with some introductory coding lessons and tutorials
Intermediate learner: I have completed some coding classes or tutorials
Advanced: I can create simple applications
Professional: I am an experienced software engineer and want to upgrade my skills
Intermediate learner
Beginning learner
No experience
What is your inspiration for applying to Automation Workz Institute?*
How much Tuition Plan Assistance and/or Tuition reimbursement does your employer provide? *
Need Workforce Development Funding?
Yes
No
Are you a veteran?*
Yes
No
Our courses are broken into stackable progressively rigorous series where each series prepares one to secure an IT certification. Are you interested in?*
Network Engineering
Linux Programming
Cyber Security
Python Programming
Data Analytics
What is your gender?*
Female
Male
Binary
What is your ethnic identity?*
African American
Asian American
Caucasian American
Hispanic American
How did you find Automation Workz Institute?
Choose an Admissions Sampler Workshop to Attend
Tuesday 7 pm Virtual
Tuesday, 7 PM EST - Virtual
Tuesday, 12 PM EST - Virtual
I provide permission to Automation Workz to email me in the future. Please confirm acceptance email.
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No
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