Path2Tech Application

Application

Our tuition-FREE program offers all the skills and coaching you need to jumpstart your career in technology.

Success! , you are eligible to apply to our Tech Fundamentals Training Program

Which Location Are You Applying For?

If you are eligible for multiple locations, please select only ONE.

Dallas, TX

New York, NY

Atlanta, GA

Washington, DC

Geo Location Data (hidden functionality data)

Dallas, TX Eligibility

Yes

Atlanta, GA Eligibility

Yes

New York, NY Eligibility

Yes

Washington, DC Eligibility

Yes

Assigned IDs (For Testing Purpose Only)

Eligibility Entry/Token ID

This is the entry/token ID ported over from GF Eligibility. Record this ID during testing if the outcome was not as expected with a description of the issue.

SF Application ID

https://help.formassembly.com/help/344494-object-alias

Personal Information

First Name

Last Name

Email Address

Cell Phone Number

Street Address

City

State

Zip Code

County

Date of Birth

MM/DD/YYYY

Age Calculation (hidden)

Are you military affiliated?

Please select your gender identity.

What is your self-described gender?

Are you a US Citizen?

Are you legally authorized to work in the U.S.?

Will you now, or in the future, require sponsorship employment visa status (e.g., H-1B visa status, Student Visa

Do you have a high school diploma or equivalent?

Optional Self-Reporting

NPower invites all applicants to voluntarily report their race, gender, ethnicity and preferred pronouns. Your responses are collected for internal data collection purposes and will not be used to determine program eligibility.

Race and Ethnicity

Please Specify

Do you identify as Hispanic/Latinx?

YesNo

What are your preferred pronouns?

Please Specify

Previous Experience

Educational Experience

What is the highest level of school or completed degree?

Name of Course

Are you an alumnus of any of NPower's other programs?

YesNo

College/Education Program

Have you ever enrolled in a college or post-high school education program?

YesNo

Are you currently enrolled in a college or an education program?

YesNo

Name of College/Program

Degree/Program Topic

Were you enrolled full-time or part-time?

Are you enrolled full-time or part-time?

Graduation or Completion Date

MM/DD/YYYY

Projected Graduation or Completion Date

MM/DD/YYYY

When did you last attend?

MM/DD/YYYY

Please provide further details.

Projected Graduation or Completion Date

MM/DD/YYYY

Technology Experience

Have you taken any technology classes?

YesNo

Name of Institution

Name of Class

Do you have any technology certifications?

YesNo

Please list certification(s)

Certifications are not required for acceptance into the program!

Please select all technology programs in which you have proficiency:

Microsoft Office Solutions WordExcelOutlookPowerpointAccess	Operating Systems Mac OSWindowsLinuxUnixAccess	Web Development HTMLJavascriptFlashCSS
Networks ServersRoutersHubsSwitchesEthernet Cables	Desktop Publishing PhotoshopMS Publishing

Employment & Benefits

Employment History

Are you currently employed?

YesNo

Have you ever been employed?

YesNo

Current Employer / Company

Most Recent Employer / Company

Job Title

Employment Start Date

Start Date

MM/DD/YYYY

Employment End Date

End Date

MM/DD/YYYY

Full-Time (30+ hours per week) or Part-Time?

Full-TimePart-Time

Compensation Type

Annual SalaryHourlyStipend

Specify Amount:

(Enter numbers only example: 35000)

Are you currently collecting unemployment insurance?

YesNo

Income and Benefits

Are you head of household?

YesNoA person is considered HoH if they are primarily responsible for financially supporting the other members of the household.

What is your current marital status?

Household size:

Annual Household Income:

Combined yearly income of all individuals living in the home. Example: 45000

Annual Individual Income:

Yearly income from all sources for applicant only. Example: 30000

Do you have health insurance?

Insurance which covers medical expenses for illnesses, injuries and conditions. Applicant may have health insurance through a parent/legal guardian, spouse, and their own place of employment (Private). Other options for health coverage include (Public) health insurance through state-based programs, VA health benefits, or no current coverage.

Are you receiving public benefits?

YesNo

Please select all the benefits you are currently receiving:

SNAP / Food Stamps	Public Assistance
Child Care Subsidies	Disability Benefits
Public Housing/ Subsidies	Transportation Vouchers
Other

Specify Other

Program Interest

You’re almost finished! Now, we’d love to hear directly from you.

Please select your preferred class time.

Monday, Wednesday Thursday Class 6:30pm-9:30pm ESTTuesday, Wednesday Friday Class 6:30pm-9:30pm ESTNo preference

Why are you interested in participating in our NPower program?

Please write 3-5 sentences.

Please make sure that you have completed all required fields before hitting the Submit Application button. Only your first application for this cohort will be considered.