JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
WNY STEM Hub Girls Coding Project 2022
Registration for Girls Coding Project a Girls Who Code Club 2022
Grades 5-12
July 18-22, 2022 8:30am to 1:00pm
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student DOB (XX-XX-XXXX)
*
Your answer
Student Email
*
Your answer
Student Telephone Number/Cell number
Your answer
Parent First Name
*
Your answer
Parent Last Name
*
Your answer
Parent Email
*
Your answer
Parent Telephone number/Cell number
*
Your answer
Street Address
*
Your answer
City
*
Your answer
Zip code
*
Your answer
Student Current Grade
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
School of Attendance (2020-2021)
*
Your answer
Does the child qualify for free or reduced lunch?
*
Yes
No
Does student have a computer or tablet in the home
*
Yes
No
Has student learned coding before?
Yes
No
Does student have internet access in the home?
*
Yes
No
Please select all programs below that student has worked with before.
*
Scratch
Code.org
Python
C++
Javascript
Other:
Required
What is student's current skill level for technology use?
*
None
Beginner
Intermediate
Advanced
Required
Ethnicity
*
Native American
Alaskan Native
Black or African American
Hispanic/Latino
Bi-racial
Asian/Pacific Islander
White
Other
Have you participated in Girls Coding Project previously?
*
Yes
No
If you are advanced level are you interested in the student mentor position?
Yes
No
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of WNYSTEM.
Report Abuse
Forms
