All That TECH Conference for Girls

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The All That TECH Conference for Girls will be held at the Kentucky Center for African American Heritage from June 7th - June 11th, 2021, daily from 9a - 3p. After filling out this form, please make sure you are checking your email DAILY, as we will be sending information to your email about the conference.

What is your first name? *

What is your last name? *

Were you referred by a friend? If so, put their name here. You and your friend will be entered into a drawing to win AirPods at the conference! If you were not referred by anyone, please skip this question.

What grade are you currently in? *

Freshman

Sophomore

Other:

What school do you go to? *

Ballard

Doss

Fairdale

Fern Creek

Seneca

Southern

Valley

Waggener

Butler

Central

Eastern

Male

Newcomer Academy

Other:

How old are you? *

Other:

What is your street address? *

What city do you live in? *

What state do you live in? *

Kentucky

Indiana

What is your zip code? *

What is your parents'/guardians' phone number? Please list as many phone numbers as you need. *

What is the best phone number to reach you? *

What is your race? *

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latina

Native Hawaiian or Other Pacific Islander

White

Other

Prefer not to answer

What is your ethnicity? *

Hispanic or Latino

Not Hispanic or Latino

Prefer not to answer

What is the best email to contact you? Please put that email here. Please make sure this is accurate - we would hate for you to miss out on an opportunity like this because we could not get in contact with you. *

The All That TECH for Girls conference will be held in-person but requires you to bring a laptop. JCPS is going to allow you to keep your computer, if you were sent one, for the entire summer. Do you have a computer to bring to the conference? *

I have a laptop that I can bring

I do not have a laptop that I can bring

Please please please make sure you are checking the email you put down above, DAILY. Can you promise me you will check it and respond if a response is necessary? It is a lot of work to try and put a conference like this together. I need your help - will you help me by checking your email daily? This is a picture of a dog saying, "Pretty pretty please????" *

I promise I will check my email daily. I promise!

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