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GLOBAL GEEK GIRLS COLLABORATIVE

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

* Indicates required field

Surname: *

Other names: *

Phone *

School *

Email *

Department *

Faculty *

Science Arts Social Science Engineering

Age this September *

Level this September *

Pre-degree/diploma 100 Level 200 Level 300 Level 400 Level 500 Level Not specified

What percentage of students in your department are girls? *

Home Address: *

State of origin: *

LGA of origin: *

What is your experience of using the computer? *

None Very little Average Above average

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

YES NO Maybe

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, give details and year *

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

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. *

Submit