Technology Career Program Application
Thank you for your interest in TechBridge Technology Career Program! Please complete the following form as your first step in the application journey.
: Our programs are delivered at no-cost to our participants. Please note that your responses may be shared with potential funding partners.
Mailing Zip/Postal Code
Mailing Address: County
Are you authorized to work in the United States?
We're sorry, you must be authorized to work in the US to submit this application.
Please select your age group
We're sorry, you must be over 18 to submit this application.
Highest Level of Education Completed:
Some High School
High School Diploma or GED
Some 2 Year College or Technical/Trade School
Some 4 Year College/University
Certificate or Diploma (sub-bachelor or vocational)
Associate degree or Technical/Trade School Certificate
We're sorry, you must have completed High School or a GED to be eligible to submit this application.
Are you currently enrolled in a college or post-secondary degree program
Have you ever been convicted of a criminal offense (misdemeanor or felony)?
If so, please explain for each conviction. If this does not apply, enter N/A.
Participation in our instructor-led courses requires access to a laptop/desktop computer with a working webcam and microphone, as well as internet access. Do you currently have access to these resources?
Please select the curriculum you are most interested in learning. Note: While we will take interest into consideration, final acceptance into a cohort will be dependent upon digital literacy level, education, location, and income eligibility.
If you selected Other in the previous question, please let us know what technical curriculum you are interested in. Otherwise, answer N/A.
Are you a graduate of a Historically Black College or University?
Have you previously been accepted into a TechBridge Program? If yes, please indicate your previous status. Please note that previous participation does not necessarily exclude you from future opportunities. Otherwise answer N/A.
How did you find out about the program?
Word of Mouth
Nonprofit Partner (Urban League, IRC, City of Refuge, etc)
Please provide additional details about how you found out about this program. **If you were referred by a non-profit organization, please select the organization below**
Atlanta Center for Self Sufficiency
City of Refuge
International Rescue Committee
Multi Agency Alliance for Children
Space Coast Cultural Arts & Business Organization
Urban League of Greater Atlanta
Not seeing your referring organization above? Please type their name here:
Why are you applying to the Technology Career Program?
I want to enter the technology space
I am looking to be promoted within my current organization or field
Please enter the name of the college(s) or post-secondary institution(s) attended. If this does not apply, enter N/A.
Name of Degree
Enter your major and minor, if applicable. Otherwise, input N/A.
Employment & Work History
Employment Type at Program Start
What is your current pay rate (per hour or annual)? If you are not currently employed, please enter N/A
Wage Range at Program Start
Less than $12/hour
$12 to $14.99/hour
$15 to $17.99/hour
$18 to $19.99/hour
$20 or more/hour
Are you a veteran?
You must submit your resume.
Note: We are not looking for perfection and will provide resume support upon program acceptance.
If you were referred to this program by our partners at Goodwill of North Georgia and need help creating a resume, you can create a Career Connector account or visit your local Goodwill Career Center for help.
Are you a dislocated worker? If you've lost a job through no fault of your own (company closure, laid off, military spouse relocation), you can qualify for this program.
Do you currently receive Government Assistance?
Family Size (including yourself)
Number of Dependents (members of your household under age 18)
What is your gross annual household income? To calculate this number, add up the income (before taxes) of each person living in the household who is 15 years old and older.