Mission Bit Code Your Way:Web Design (Self-paced)
***MB Staff Note***
Make sure to ping Johnny to let him know to update the Zapier integration if you are making a change to this form. Afterwards, please also submit a new application using Test Child to update.
Do you live in California, USA?
Yes
No
Student
First Name (student)
Middle Initial
Last Name (student)
Preferred Name/Nickname
Phone (student)
Numbers only.
Email (student)
Please use non-school email account that you access most frequently.
Student's Date of Birth
MM/DD/YYYY
What is your zip code?
What is your expected high school graduation year?
What high school do you attend/plan to attend?
Please select...
Abraham Lincoln High School
Academy of Arts and Sciences
AIMS High School
Alameda High School
Albany High School
Alpha High School
Amador Valley High School
American Canyon High School
American High School
American Indian Public High School
Aragon High School
Arise High School
Aspire East Palo Alto Charter School
Aspire Golden State College Preparatory Academy
Aspire Lionel Wilson College Preparatory Academy
Aspire Richmond California College Preparatory Academy
Balboa High School
Bay School of San Francisco
Bay Tech High School
Bentley Upper School
Berkeley High School
Berkeley Technology Academy
Burlingame High School
California High School
Capuchino High School
Carlmont High School
Castilleja School
Castlemont High School
Castro Valley High School
City Arts & Leadership Academy
City Arts & Tech High School
Clayton Valley Charter High School
Coliseum College Prep Academy
Cosumnes Oaks High School
Cristo Rey De La Salle East Bay High School
Cupertino High School
De Anza High School
Deer Valley High School
Design Tech High School
Dougherty Valley High School
Downtown High School
Dublin High School
East Palo Alto Academy
Eastside College Preparatory School
EBIA Upper School
Edison High School
El Camino High School
El Cerrito High School
Encinal Junior/Senior High School
Envision Academy
Everett Middle School
Evergreen Valley High School
Five Keys Charter School
Fremont High School (Oakland)
Fremont High School (Sunnnyvale)
Galileo High School
Gateway High School
George Washington High School
Granada High School
Greenfield High School
Harker High School
Hayward High School
Henry M Gunn High School
Hercules High School
Hillsdale High School
Hilltop High School
Homestead High School
Ida B Wells High School
Immaculate Conception Academy
Impact Academy of Arts and Technology
Independence High School
International Studies Academy
Irvington High School
Island High School
James Logan High School
Jefferson High School
John F. Kennedy High School (Fremont)
John F. Kennedy High School (Richmond)
John O'Connell High School
June Jordan High School
KIPP Bayview Academy
KIPP Esperanza High School
KIPP San Francisco College Preparatory
KIPP SF Bay Academy
Las Flores High School
Lathrop High School
Latitude High School
Leadership
Leadership Public Schools - Hayward
Leland High School
Lick-Wilmerding High School
LIFE Academy
Los Gatos High School
Lowell High School
Lynbrook High School
Madison Park Academy
Making Waves Academy
McAuley CEEP
McClymonds High School
Menlo-Atherton High School
MetWest High School
Mills High School
Miramonte High School
Mission High School
Mission San Jose High School
Monte Vista High School
Northgate High School
Notre Dame High School
Oakland Charter High School
Oakland High School
Oakland International High School
Oakland Military Institute
Oakland School For the Arts
Oakland Technical High School
Oceana High School
Palo Alto High School
Phillip and Sala Burton Academic High School
Piedmont High School
Piedmont Hills High School
Pinole Valley High School
Pioneer High School
Pittsburg High School
Prospect High School
Raoul Wallenberg High School
Redwood High School
Richmond High School
Riordan
Rise University Preparatory
Roseland University Prep
Rudsdale High School
Ruth Asawa SOTA
Sacred Heart Cathedral Preparatory
Saint Francis High School
San Francisco Girls' School
San Francisco University High School
San Leandro High School
San Lorenzo High School
San Mateo High School
Sequoia High School
Silver Creek High School
Skyline High School
Sojourner Truth Independent Study
St. Ignatius College Preparatory
Street Academy
Summit Preparatory Charter High School
Tamalpais High
The Academy - San Francisco @ McAteer
The Athenian School
The College Preparatory School
Thurgood Marshall High School
TIDE Academy
Urban School of San Francisco
Vista Alternative High School
Washington High School (Fremont)
Westmoor High School
Wilcox High School
Woodside High School
Other
Please Specify (School):
Which best describes your race or ethnicity?
American Indian or Alaskan Native
Asian
Black or African American
Hispanic, Latinx, or Spanish
Middle Eastern or North African
Native Hawaiian/Pacific Islander
White
Other
If other, please specify (race or ethnicity):
What gender do you identify as?
Please select...
Female
Male
Genderqueer/Gender Non-binary
Trans Female
Trans Male
Not Listed
Please Specify (gender):
How did you hear about us?
Please select...
School / Teacher
Family / Friend
Flyer
Online Search
Email / Newsletter
Social Media
Blog or Publication
Event / Convention
Other
Please specify:
How did you hear about this opportunity?
Please select...
Instagram
Facebook
LinkedIn
TikTok
Mission Bit newsletter
Mission Bit email
School email
Mission Bit SMS
Mission Bit Slack
Mission Bit event
Career or college fair
Community event
Google search
Other organization website
Teacher
School Counselor
In-class presentation
Friend
Mission Bit Student Ambassador
Community center
Employer
Flyer
Other
Please specify:
I would like to receive informational and promotional emails from Mission Bit to both the student and parent in this form.
Unfortunately, you are not eligible for this program. This program is only for California residents. Thank you for your interest and check
www.missionbit.org
for future opportunities!
Contact Information