Code Girls Application

2020 Code Girls Application Form

Before completing the Code Girls application form please make sure you have read the information on the Code Girls main page. Applicants should complete the online application before 5pm on Monday April 27, 2020. The application is straightforward and should take approximately 15-30 minutes to complete. For questions, please email Dr Rob at rob@youngscientistacademy.org.

Applicant Details

* Indicates required field

Student Name *

First

Last

I identify with gender: *

date of birth *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Best Phone Number *

Email *

parent/legal guardian name *

First

Last

Relationship to Applicant *

Program Requirements

All participants will be required to attend two orientation and team building sessions: 1) a breakfast mixer on Saturday May 16 from 9-11a, and 2) an ‘Introduction to Computers’ workshop on Friday June 12 from 9a-4p. All participants will be required to complete one week of beginner level instruction in computer coding and basic web design, either in the week of June 29, July 6 or 13, as well as an intermediate level coding group research project in a two week ‘Hackathon’ (July 20-31).

I am available to participate in the following 'Beginner Coding' weeks (Click all that apply): *

Week 1 - June 29-July 3 Week 2 - July 6-10 Week 3 - July 13-17

Due to the generosity of the Eshelman Foundation and nCino, the Code Girls program is completely free. In addition, all participants will receive lunch each day as well as YSA swag, including a personalized Code Girls t-shirt, identification card and lanyard, and other computer accessories.

Please select your T-shirt size: *

Application Questions

Please provide brief (3-4) responses to the following questions:

Why do you want to participate in the Code Girls program? *

How can we apply coding for good use in society? *

Tell us something interesting about yourself *

Why is diversity important in science? *

References

References may include neighbors, religious leaders, teachers, coaches, after school providers, and any other person that can vouch or provide a general character reference, but should not include any family member. Reference letters are not required for the application, the Code Girls Search Committee will reach out to references if required. Please double check phone and email details are correct before submitting form.

Reference 1

Name *

First

Last

how do you know this person? *

reference's Phone Number *

Reference's Email *

Reference 2

Name *

First

Last

how do you know this person? *

Reference's Phone Number *

Reference's Email *

Required *

I agree

I agree and acknowledge that my child’s participation is not the responsibility of the Young Scientist Academy (YSA) or the Harrelson Center, its employees, officers, or agents. I affirm and agree that as parent/legal guardian, I will grant the approved supervisors, educators and chaperones from YSA the responsibility to supervise my child during YSA activities and field trips. I further agree and understand there are inherent risks attendant to these activities – including but not limited to personal injuries that may be sustained while participating in YSA activities. I expressly agree to assume any such risks on my behalf and that of my child. I also grant YSA permission to photograph and video my child, and publish these images on the YSA website and affiliated social media platforms.

signature of Parent/guardian *

Relationship to student *

date *

I agree to receiving marketing and promotional materials

Submit