CodeArt
CodeHER Club Application Form - 2019-2020
Apply to one of Code/Art's CodeHER Clubs by filling out and submitting this form.
Note:
Grades accepted vary by club.
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What CodeHER Club by Code/Art are you applying to?
Location and Time
*
Select
FIU - Wednesdays 4:30-6:30pm
FIU - Fridays 10:00am-12noon
Breakthrough Carrollton (must be a current Breakthrough Carrollton student)
Redland CodeHER
Coconut Grove Virrick - Wednesday
Coconut Grove Armbrister-Wednesday
Coconut Grove Library - Saturday
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Student Info
Student First Name
*
Student Last Name
*
Student Email (enter Parent/Guardian email if you do not have one)
*
Student Cell Phone
*
Gender
*
Select
Female
Male
Non-Binary
Code/Art's mission is to increase the number of young women in coding. Students who identify as female are welcome to apply to our CodeHER clubs.
Birthdate (be sure to select correct year)
*
School
*
Enter your current school.
Current Grade
*
Select
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Expected High School Graduation Year
*
Select
2020
2021
2022
2023
2024
2025
2026
2027
2028
T-shirt Size
*
Select
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Are you of Hispanic, Latino, or Spanish origin?
*
Select
Yes
No
Prefer not to answer
What is your race? Enter the race to which you most identify.
*
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Mixed race
Other
Prefer not to answer
Please check programming languages below that you have experience with: (Coding experience is not required or even expected.)
*
Scratch
HTML/CSS
JavaScript
Python
Mobile app language (e.g. MIT App Inventor or Swift)
Other
No programming experience
If you checked "Other", what other programming languages do you have experience with?
*
What prior Coding Clubs, Workshops, Classes, or Camps have you attended? (Check all that apply.)
*
CodeHER Club by Code/Art
Non-Code/Art Coding Club
Code/Art Workshop
Non-Code/Art Coding Workshop
School Computing Class
Online Computing Class
Summer Coding Camp
Other
None
Please list all prior Clubs, Workshops, Classes, Camps, etc. (if any):
*
Have you previously entered any coding competitions?
*
Code/Art Miami
Robotics
Other
None
If you checked "Other", what other competitions have you entered?
*
Terms & Conditions
*
I commit to attend at least 80% of meetings and complete all projects.
Profile Picture
*
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Parent/Guardian Info
Parent First Name
*
Parent Last Name
*
Parent Phone
*
2nd Parent Phone
*
Parent Email
*
2nd Parent Email
*
Address 1
*
City
*
State
*
Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New
Hampshire
New
Jersey
New
Mexico
New
York
North
Carolina
North
Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode
Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West
Virginia
Washington D.C.
Wisconsin
Wyoming
Other US Territory
Zip Code
*
I know someone who may be a good guest speaker or have a field trip idea. (Check "Yes" if you have contacts/ideas for speakers or field trips.)
*
Select
Yes
No
If you answered Yes, please provide additional details about potential speakers or field trips.
*
How did you learn about this Code/Art Program? (check all that apply)
*
From a Friend
From Code/Art Email
From a Librarian
My Child's a Returning Student
Other
If you answered "Other", how did you learn about this Code/Art program?
*
Twitter Handle
*
LinkedIn URL
*
Parental Terms & Conditions:
*
I agree to arrange to get my child to club meetings and understand that she is expected to attend at least 80% of meetings. It is my responsibility to notify the Club advisor if my daughter needs to miss a session. I understand that a pattern of absences may result in my child being asked to leave the club.
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