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Program of Interest

🛑 Thank for your interest in the Teen Tech Launchpad! Before you begin your application, please read the disclaimer below:

This application includes a few questions about household income and government assistance. Applicants under 18 are encouraged to complete these sections with support from a parent or guardian. 



Program Commitments



Carefully review the responses to the questions below.
Yes No

Contact Info













Standard data and message rates apply. You may stop texts at any time by replying STOP and your consent will not impact your eligibility.






Referral Information




email, social media, phone/office number


Education Info

For those currently enrolled in a High School Equivalency Program, please select the last grade you completed.




Your responses to the following questions is used for data-tracking related to grant funding and does not impact your eligibility.
Employment Info






Other Info


Minors, your answer should reflect service(s) your family receives.




Demographic Info







The following questions help us understand the backgrounds of students we serve so we can improve programming and meet grant reporting requirements.

This information is stored securely, is not shared publicly, and is only reported in summary (aggregate) form without names or identifying details.


Attestation

I certify that the information submitted in this application is accurate, complete, and correct to the best of my knowledge. I further understand that any false statements may result in the denial of my application. I also agree to provide documentation to prove program eligibility upon request.

Thank you for your interest.

Based on your responses for the previous page, you do not meet one or all of the minimum eligibility requirements to enroll in a Knowledge House course.

If your situation changes, please resubmit a form. Best of luck with your future endeavors!

If you believe you've received this message in error, please review your responses on the previous page or contact Recruitment at The Knowledge House (recruitment@theknowledgehouse.org)
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