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What barriers to employment or education do you face? How are you disadvantaged? *

Do you need any special accommodations? *

Have you learned any tech skills? If yes, what have you learned? *

What type of training are you interested in learning? (check all that apply) *

Why are you interested in Coding, WordPress, or Cybersecurity? *

How did you hear about Code Youth? Please provide the name of the person who referred you. *