Apply to Code Fellows

Personal Information

First Name *

Last Name *

Email *

Phone *

Date of Birth *

Marital Status *

Gender *

Pronoun *

Race *

Ethnicity *

Mailing Address

Street Address *

City *

State/Province *

Postal Code *

Country *

General Information

Why are you interested in joining Code Fellows? * Max 2,000 characters.

Tell us about your career goals: * Max 2,000 characters.

Which program are you interested in? Select all that apply: *

Software Development

Cybersecurity

Web3

Not Sure

What course schedule are you interested in? Select all that apply: *

Daytime

Nights & Weekends

Self-Paced

Not Sure

What is your preferred classroom experience? *

What is your current technical skill level? *

Tell us about your technical skills and/or experience: * Max 2,000 characters.

How comfortable are you working on a diverse team? *

Do you require any special learning considerations? Select all that apply:

Do you have special learning considerations not listed above? If so, add them here: Max 2,000 characters.

Are you interested in participating in BFET or a current BFET participant? *

Yes

No

Have you lived in Washington state a year or longer? *

Yes

No

Have you served in the U.S. military or are a family member of a U.S. military veteran using U.S. military benefits? *

Do you currently or have you ever had a military clearance? *

How did you hear about us? *

Household Information

What is your household income? *

Number of persons per household *

Physical Home Address since March 3, 2021. If multiple, list all addresses since March 3, 2021: * Max 2,000 characters.

Have you been laid off since March 3, 2021? *

Yes

No

Have you been underemployed since March 3, 2021? *

Yes

No

Do you, your spouse, or any household members work for the Oklahoma City Urban Renewal Authority, the Alliance for Economic Development of Oklahoma City, or the City of Oklahoma City? *

Yes

No

Have you participated, applied for, or been awarded funds/services from any other OKC Rescue Program funded program or COVID relief related federally funded program since March 3, 2021? *

Yes

No

Do you or any member of your household participate in any of the following federal benefit programs? Select all that apply:

Academic History

What is the highest level of education you have completed? *

What was your degree area of study? *

Current Employment

What is your current industry? *

What is your current individual income? *

Employment History

Employer #1 * Type N/A if not applicable.

Job Title * Type N/A if not applicable.

Start Date Leave blank if not applicable.

End Date Leave blank if not applicable.

Reason for Leaving * Type N/A if not applicable. Max 255 characters.

Employer #2 * Type N/A if not applicable.

Job Title * Type N/A if not applicable.

Start Date Leave blank if not applicable.

End Date Leave blank if not applicable.

Reason for Leaving * Type N/A if not applicable. Max 255 characters.

Employer #3 * Type N/A if not applicable.

Job Title * Type N/A if not applicable.

Start Date Leave blank if not applicable.

End Date Leave blank if not applicable.

Reason for Leaving * Type N/A if not applicable. Max 255 characters.

Do you attest that the information provided in this application is accurate and true? *

Yes, the information provided in this application is accurate and true

No

Code Fellows Application

Personal Information

Mailing Address

General Information

Household Information

Academic History

Current Employment

Employment History