CCLAC Incubator - 2023 Cohort Digital Literacy Program Initial Interest Application

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Date of Birth

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Do you want to receive text notifications?

Yes

No

email works better

other

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What is the best form of communication to use to contact you?

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What is your primary Language?

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Ethnicity

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Race

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Which degree is the student attempting? (consider your future career goals)

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Extracurricular awards/achievements (during the school year are you in any sports or extra curricular classes ie. band, drama, tech class?)

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What are some of your academic awards/achievements (think about all of your educational experience and provide a summary)

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What is your student classification?

Grade point average (GPA) (if you don't know think of the ideal GPA you would like to achieve)

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What are your academic goals? (you have several options to chose from, you may write about what goals you have for your upcoming school year, or you can share your long term academic goals that would assist you pursuing a career).

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What are your greatest strengths? (Strengths aren't always physical ie. compassion, patience, language, written, are strengths individuals may consider to write about) soft skills.

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What drove you to look for an opportunity with our internship program?

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Why do you think you are suitable for participation in this program?

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2023 Cohort Digital Literacy Program Initial Interest Application

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