Enrollment Form

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Enrollment Form

Enrollment Application

Personal Information Full Name: Date of Birth: Gender: Email Address: Phone Number:

Address Information Street Address: City: State/Province: Postal/ZIP Code: Country:

Educational Background Highest Level of Education Completed: Field of Study: Institution Name:

Course Enrollment Which classes are you interested in? Coding Classes ICT Classes If you selected ‘Both,’ please specify any particular areas of interest within Coding and ICT:

Preferred Class Schedule Preferred Class Time: Preferred Days of the Week: Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Additional Information Why are you interested in these classes? Do you have any prior experience in Coding or ICT? If yes, please describe: Any special requirements

Consent and Submission I consent to the collection and use of my personal information for the purpose of enrolling in the courses as described. I understand that submitting this application does not guarantee enrollment and that I will be contacted regarding the next steps. Date:

Hurk Tech

Discover Hurk Tech, your trusted partner in tech solutions. From expert repairs to cutting-edge software solutions and coding classes , we're here to elevate your digital experience. Join countless satisfied clients who rely on our commitment to innovation and excellence. Let's shape the future of technology together.
Phone: +256 754 603650
Email: info@hurktech.com

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