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SPOT 127 : A Digital Media Revolution

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Application for Summer Bootcamp Session 1

In addition to learning and enhancing your digital media skills, SPOT 127 will have guest speakers who will give you insight on business and the workforce of the future.

Preferred Name

First Name *

Last Name *

Birthdate *

Month

Day

Year

Identified Gender

Identified Race (Please Select One) *

Multiracial

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

I prefer not to answer

Identified Ethnicity *

Preferred Phone Contact *

Home Phone

Cell Phone

Student Email Address *

Street Address *

City *

Zip Code *

Parent/Legal Guardian Name(s) *

Parent/Legal Guardian Phone Number(s) *

Parent/Legal Guardian Email(s) *

Emergency Contact Name(s) *

Emergency Contact Phone Number(s) *

School Name *

Grade Level (Starting Fall 2024) *

Projected High School Graduation Date *

Month

Day

Year

Is your family’s income less than $60,000 annually? *

Information about family income will determine your eligibility for SPOT 127 scholarships.

yes

no

Session Attending

Level 1 - Beginner (Tu, Th)

Level 2 - Advanced (M, W)

Bootcamp 1

Bootcamp 2

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