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P-TECH interest form
If learning more about Cybersecurity, hackers, how computers and the Internet works sounds fun to you then fill out this form to get more information about the P-TECH program
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* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
Parent/Guardian First and Last name
*
Your answer
Which middle school do you attend?
*
Choose
Braddock
Mt. Savage
Washington
Westmar
How would you like to receive information about P-TECH?
*
email
text message
neither
Required
If you would like to receive emails about P-TECH please type one or more emails below or skip this question
Your answer
If you would like to receive text messages please type one or more cell phone numbers below or skip this question
Your answer
I would like to receive the following
*
link to the P-TECH web page for more information
Reminders about the Live P-TECH Parent night
Reminder when the P-TECH application is live
Reminder when the P-TECH application will close
I do not need to receive more information
Required
If you have any questions please ask below and someone from the program will get back to you. (this question can be skipped)
Your answer
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