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GLOBAL GEEK GIRLS COLLABORATIVE

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GGc At 10

Nigerian Geek Girls Collaborative Camp
APPLICATION FORM (SECONDARY SCHOOL CATEGORY)

* Indicates required field

Surname: *

Other names: *

Date of birth (dd/mm/yyy) *

Age this September *

Class this September *

School *

Home address *

Category in school *

Science Arts Commercial Others Not applicable

State of origin: *

Contact phone *

Is Computer being taught as a subject in your school? *

Yes No

LGA of origin: *

Contact Email *

What is your experience of using the computer? *

None Very little Average Above average

Have you participated in any of our previous camps or trainings? *

Yes No I dont know about GeGCoC

Have you attended a computer training event before? *

Yes No Not sure

If you have participated in our previous program, specify what year *

Does your school have a computer lab? *

Yes No

If yes, approximately how many computers are in your school lab? *

Are you able/willing to share the acquired skills in your school after the Camp? *

Yes No

If yes, approximately how and how many people will you be able to reach? *

Do you have a computer of your own? *

Yes No

Will you be able to come with a computer (laptop) if selected for GeGCoC 2016? *

Yes No Not sure

Home Address: *

Are you interested in studying Computer Science or related discipline after graduating from Secondary school? *

YES NO Not sure

If given the opportunity, are you interested in using computers to solve your day to day problems? *

YES NO Maybe

List at most 3 computer applications you can comfortably use (if any) *

In not more than 50 words, explain why are you interested in attending the Camp and what you wish to learn *

Is there anything special we should know about you (allergies, diet, medical condition, special needs)? *

How did you hear about us? *

Flyers/posters School authority Internet/search engine radio/tv/newspaper Others(specify)

If "others", mention how you heard about us. *

Parent/guardian's details:

Parent/guardian's Name *

Parent/guardian's occupation *

Parent/guardian's Phone No *

Parent/guardian's Email *

Teacher/school administrator's details:

Teacher/school administrator's Name *

Teacher/school administrator's designation *

Teacher/school administrator's Phone *

Teacher/school administrator's Email *

Submit

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Home
About
Projects
- GaSI
- AI for Girls
- GeGCoC
- Nigathon
- ggc Reunion
Contact
Blog
GGc At 10

Nigerian Geek Girls Collaborative CampAPPLICATION FORM (SECONDARY SCHOOL CATEGORY)

Nigerian Geek Girls Collaborative Camp
APPLICATION FORM (SECONDARY SCHOOL CATEGORY)