PepUp Tech Academy Virtual Course Summer 2021

Page 1

Course Selection

Thank you for your interest in PepUp Tech. Before starting your application make sure you review the course information and requirements listed here: 

https://www.pepuptech.org/courses

It is helpful to collect the required documents prior to starting your application. If you have any questions or comments, please email admissions@pepuptech.org. 

We are excited to support you along your journey. 

Course Schedule:
  • Class Starts: July 24th, 2021
  • Saturday Mornings: 9am-12pm EST





















Please note that both a LinkedIn and Twitter Profile are required to complete registration into this course 





Page 2










Page 3

Related Experience









Page 4











Financial Documentation
In order to qualify to enroll in a PepUp Tech course you must be from a low to moderate income background as defined by the FY 2019 Median Family Income Documentation System for your state and county. We verify income as follows:

You must proof of income. Here are some acceptable proofs of income:
  • If on Public Assistance: Human resources recent budget letter
  • If Employed: 2019 Most recent  tax return and W2 form and 2 pay stubs (must submit all three if choosing this method)
  • If in college: Pell Eligibility Proof 
  • If in college: State Financial Aid Eligibility Proof
  • Other (please email admissions@email.com) 
In addition to the above you can also submit an optional statement explaining your financial situation if extenuating circumstances exist. This statement alone will require additional follow up from our team to validate income. 
  • Optional - Letter explaining financial situation 







Page 5

Supplementary Documents
Upload a recent resume 

Upload your statement of interest. Topic: What makes you a great candidate for PepUp Tech Academy? Explain how you think PepUp Tech will enable you to ​reach your professional goals (300 word minimum).

Upload a letter of recommendation (or have your recommender email it to admissions@pepuptech.org)

Our Policy 
PepUpTech is committed to a policy of equal treatment for all individuals applying to attend a PepUp Tech program, volunteer, intern, work or otherwise conduct business with our organization. PepUp Tech does not discriminate on the basis of race, color, gender, handicap, age, religion, sexual orientation, or national or ethnic origin.

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted into the virtual course, I am required to attend the full duration of the program. If I decide to unenroll I must do so in writing by emailing my instructor. I understand that there is no cost to me to attend this course.


Type in your Full Name

Media Release

I hereby grant permission to PepUpTech, to use, including to display publicly or to perform, the above-named person's image, likeness, or voice recording on the PepUp Tech website or in any other official PepUp Tech publications without further notice or compensation. I hereby consent that any such image, likeness, or voice contained in photographs, recordings, and tapes are the property of PepUp Tech, which shall have the right to print, reprint, publish, copy, vend, perform or represent publicly, or create derivative works based on and using the image, likeness, or voice depicted in such photograph, film, or sound recording as it may desire free and clear of any claim whatsoever on my part or the part of the above-named person.


I also understand that once the above-named person's image, likeness, or voice recording is published on a website, it can be downloaded by any computer user. Personal information, such as full name, addresses and telephone numbers will never be published. If a person’s name is used with a photograph, film, or sound recording, it will be in the form of a first name and last initial. For example, student Jane Doe may be listed as “Jane D.” Therefore, I agree to indemnify, defend and hold harmless PepUp Tech, its officers, employees, agents, successors and assignees (the “Indemnified Parties”) from and against any and all claims and liabilities resulting from this publishing.





Type in your full name.

Thank you for completing this application form and for your interest in attending our virtual course.
- End of Application -