Reboot Scholar Registration Form

  • The mission of Reboot Representation is to make collective investments in the success of Black, Latina, and Native American (BLNA) women and girls in emerging technological fields.

    If you identify as a woman or non-binary undergraduate student who is Black, Latina, or Native American and pursuing a computing degree, or if you are a participant in a Reboot-funded program: YOU ARE A REBOOT SCHOLAR!*

     Our vision is to create educational, economic, and personal growth opportunities for every Reboot Scholar, ensuring equitable access to these opportunities. To achieve this, we strive to understand the diverse backgrounds of our scholars, including gender, race, ethnicity, and other relevant demographic information, to measure and advance equitable access to our programs and resources. Representation matters, and Reboot is committed to collecting and utilizing this information in a way that genuinely reflects our community and fosters meaningful engagement.

     

    *Please complete this form to learn more about how to become a Reboot Scholar!

  • Are you 18 years of age or over?*

  • If you are not 18 years of age, please contact the Reboot team at scholars@rebootrepresentation.org to tell us a bit more about yourself. 

  • Do you identify as a BLNA woman/non-binary, undergraduate student in computing?*

  • Thank you for your interest in Reboot Representation. Many of our programs and partners provide resources for all computing students. Click below to find out more:

    • AI4ALL: https://ai-4-all.org/
    • CodePath: https://www.codepath.org/
    • Colorstack: https://www.colorstack.org/
    • Computing Alliance of Hispanic-Serving Institutions (CAHSI): https://cahsi.utep.edu/
    • IT Senior Management Forum (ITSMF) https://itsmfleaders.org/
    • Last Mile Education Fund:https://www.lastmile-ed.org/
    • Management Leadership for Tomorrow (MLT): https://mlt.org/
    • Natives Rising: https://www.joinnativesrising.com/
    • Rewriting the Code- Black Wings: https://rewritingthecode.org/black-wings/
    • Rewriting the Code- Latinas de RTC: https://rewritingthecode.org/latinas-de-rtc/
    • Society of Hispanics Professional Engineers (SHPE): https://shpe.org/
    • United Negro College Fund: https://uncf.org/
  • Do you identify as a member of the LGBTQ+ community?*
  • Which of these racial identities applies to you? (Please check all that apply.)*

  • The Reboot team will NEVER share your cell phone number or address without your consent. We would like your mailing address to send you some swag and text message reminders (you can opt-out at any time).

  • Format: (000) 000-0000.
  • Which Reboot program(s) are you participating in? (Please check all that apply.)*

  • Which of the following military affiliations apply to you? (Please check all that apply.)*

  • Which of the following parent / guardian / caretaker identities apply to you? (Please check all that apply.)*

  • How did you hear about Reboot? (Please check all that apply.)*

  • Terms & Conditions*
  • Should be Empty: