Application Form Work In Tech program 2023 - Google IT Automation with Python Certificate

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Work in Tech Program 2023 powered by Coursera, INCO & KYNA Academy

We respect your privacy and, in accordance with European data protection regulations, the collected data will be accessed only by persons responsible for the training program.
These data are collected for the sole purpose of measuring the social impact of the Work In Tech program and its efficiency. Your personal data will be deleted at the end of the program.

What is your name? Fill in your first name(s) and surname.
*

Fill in your name correctly. This name will show on your official certificate.

What is your email address?
*

Please note that you have to use this email on all the platforms related to the Work In Tech program.

What is your phone number?
*

How old are you ?
*

18-24

25-34

35-49

50-64

What is your gender identity?
*

Female

Male

Non-Conforming/ Non-Binary

Rather not say

Which of the following demographic groups applies to you?
*

(You can select multiple answers)

Asian or Pacific Islander

Black or African American

White or Caucasian

Ethnic Minority (Definition: Parents or grandparents are born in foreign countries)

None of the above

Rather not say

Required

What is your highest completed education?
*

Elementary School

High School

MBO

Bachelor

Master

What is your current employment status?
*

I am employed in an unstable occupation (for example: job at risk of becoming obsolete, unable to work full-time due to lack of skills, risk of losing employment due to discrimination)

I am employed with a stable occupation and want to learn new skills

I am employed in seasonal occupation (example: risk of losing employment due to inevitable external circumstances)

I am unemployed

Do you have any experience with online learning?
*

Yes

I have a laptop/ computer available for the duration of this program.
*

Please note that this program is offered online. There are no on-site lessons taking place.

Program requirements *

To be able to enrol in your selected program Google IT Automation with Python Certificate, learners have to have advanced IT skills and knowledge in coding and knowledge in SQL (Structured Query Language). Please indicate the coding skills you already have from the list below. Do note that a pre-screening test might be emailed to you to check you meet the requirements.

SQL

Java

Javascript

HTML

PHP

C and/or C++

RUBY

Python

Typescript

Kotlin

Scala

Other:

Required

Your time dedication
*

Your selected program Google IT Automation with Python Certificate includes 115 hours of online learning material. If you dedicate 10-12 hours per week to your online learning, it should take you 2-3 months to complete this program. Kindly note that inactive learners (30 or more days of no study) will be removed from the program.

Do you live in the Netherlands or have a Dutch address?
*

We are only accepting candidates who live in the Netherlands or have a Dutch address.
If this is not your case, the Work in Tech program is currently active in many other countries. We suggest that you look for another alternative in your current country of residence.

Your motivation *

In a few words, let us know why you want to join this program and what you wish to achieve.

Declaration of Intent and Cooperation
*

I UNDERSTAND THAT, UPON BEING ACCEPTED TO THIS PROGRAM,

I WILL FILL IN ALL THE FOLLOW-UP SURVEYS- QUESTIONNAIRES EMAILED TO ME (AN 'ENTRY SURVEY DUE BEFORE THE START OF THE PROGRAM, AND GRADUATION/ EXIT SURVEYS DUE AFTER THE END OF THE PROGRAM).

FAILURE TO COMPLY CAN RESULT IN THE TERMINATION OF THIS AGREEMENT.

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