Getting to know you
Name
*
First Name
Last Name
Email
*
example@example.com
Student ID
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Emergency Contact #1 (Name)
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Emergency Contact #1 (Phone)
*
Emergency Contact #1 (Relationship)
*
Please Select
Parent / Guardian
Partner
Child
Friend / Other
Emergency Contact #2 (Name)
Emergency Contact #2 (Phone)
Emergency Contact #2 (Relationship)
Please Select
Parent / Guardian
Partner
Child
Friend / Other
If you would like, you may use this space to indicate pronouns:
Tell me a little about yourself...
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Why did you decide to take this particular bootcamp?
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What are you expecting to gain from this bootcamp?
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What can Grand Circus do to best support your learning? Do you have any learning needs we should be aware of?
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What type of operating system do you use?
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Windows/PC
Mac
Linux
What web browser do you most frequently use?
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Please Select
Chrome
FireFox
Safari
Explorer/Edge
Other
Do you currently have a second monitor to use for bootcamp?
*
Yes
No
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Is there a nickname or something else you prefer to be called?
What is your birthdate
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-
Month
-
Day
Year
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What is your favorite food or sweet?
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Where were you born and raised?
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Are you married?
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Yes
No
Prefer not to answer
Do you have kids?
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Yes
No
Prefer not to answer
How many kids and what are their ages?
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What's your Twitter handle?
We love promoting our students on social media! Let us know your handle so we can tag you in cool events or photos that we post!
What's your Instagram handle?
We love promoting our students on social media! Let us know your handle so we can tag you in cool events or photos that we post!
What's your LinkedIn profile?
We love promoting our students on social media! Let us know your profile so we can tag you in cool events or photos that we post!
Who is your favorite sports team, if any?
What is a fun or interesting fact we should know about you?
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Is there a religious holiday that falls during your bootcamp that you will be observing? If so, when does it fall?
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What types of fun activities would you like to see planned for your class during the bootcamp?
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Happy Hour
Game Night
Scavenger Hunt / Trivia
Pajama Day / Hawaiian Shirt Day (some type of themed dress up day)
Synchronized Movie Screening
Karaoke
Q&A / Hot Seat
No thanks, I'm not interested in fun activities
Other
If we had a Happy Hour, would you participate by drinking alcohol?
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Yes
No
Maybe
What is your T-Shirt size?
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Please Select
XS
S
M
L
XL
XXL
3XL
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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Who was your employer prior to/during your start of bootcamp?
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Broadly speaking, what was your college major? (Use AA or BA major if you have more than one degree)
*
Please Select
Anthropology
Agriculture and Related Sciences
Architecture and Planning
Area, Ethnic, Cultural and Gender Studies
Biological and Biomedical Sciences
Business
Communication and Journalism
Communications Technologies
Computer and Information Sciences
Construction Trades
Education
Engineering
Engineering Technologies
English Language and Literature
Family and Consumer Sciences
Health and Medicine
Health Professions and Related Clinical Sciences
History
Languages, Literatures and Linguistics
Law and Legal Studies
Liberal Arts and Sciences, General Studies and Humanities
Library Science
Math and Statistics
Mechanic and Repair Technologies
Military
Natural Resources and Conservation
Parks, Recreation, and Fitness
Personal and Culinary Services
Philosophy and Religion
Physical Sciences
Political Science and Government
Precision Production Trades
Psychology
Public Administration and Social Services
Science Technologies
Security and Protective Services
Social Sciences
Theological Studies and Religious Vocations
Transportation and Materials Moving
N/A
Besides becoming a web developer, what professional goals are you hoping to accomplish when you graduate?
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Is there anything that you are particularly worried about that we should know about before starting on day one?
What do you look for in a mentor?
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Real-world experience in web development
Someone that has a similar background as me
Someone that can talk to me when I'm feeling stressed or down
Someone that can sit with me and help out with my code and troubleshoot
Someone that is more of a tutor than a mentor
Someone that has experienced the bootcamp before and understands its stresses
Someone who lives near me
Other
Which of the following affinity groups would you be interested in joining?
Common Ground - for students of color
QUILTBAG - for LGBTQ+ students
Women's Group - for women-identifying students
A Place and Some Space - peer support group for mental health and addiction
Diverse Learning Needs Group
Other
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