Edie Windsor Coding Scholarship :: Scholar Bio Submission

Name*

First Last

Company Name*

Job Title*

Bootcamp Choice / Certificate (i.e. Web Development Immersive)*

Email*

Cell*

Twitter Handle

Shirt Size*

Bio*

Bio (Legacy - maintained for historical purposes only)

350 Max Word Count

Photo*

Please upload a square image at least 500x500px.

Linkedin*

Facebook

Address Type*

USA
International

Mailing Address

Street Address Address Line 2 City State ZIP Code

International Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Pronouns*

he/him
she/her
they/them
other

I identify as*

Check all that apply.

Skills you have at any level*

Choose all that apply.

Yes, I agree to come to one Summit a year.*

Yes

Yes, I agree to post about the scholarship fund in the future, whether it's social media or blog posts.*

Yes

Yes, I have been accepted to my program. Or No I am still waiting.*

Yes
No

I understand my scholarship is tied to the bootcamp.*

Should you decide to shift to another bootcamp partner, we cannot guarantee your scholarship and ask that you reach out directly to us in these circumstances to see what we are able to accommodate.

Yes

I understand that I am responsible for the remaining portion of the tuition that the Scholarship does not cover.*

Yes

Please explain*

Program Start Date or Potential Program Start Date*

Phone

This field is for validation purposes and should be left unchanged.

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Edie Windsor Coding Scholarship :: Scholar Bio Submission