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!

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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.

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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/

Name*

First NameLast Name

Pronouns

Gender Identity

Personal Email*

example@example.com

School Email

example@example.com

Intended Graduation Year*

Major 1*

School*

Please type in your School name

Major 2

Minor

Do you identify as a first generation college student? *

'First Generation' means that neither of your parents have completed a four-year university degree.

YesNoPrefer not to answer

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).

Phone Number*

Format: (000) 000-0000.

Permanent Address (where we can send you swag)*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

LinkedIn Profile

I agree to share my contact information with Reboot Representation.I agree to provide my public LinkedIn profile, which may be shared with Reboot partners (i.e., Reboot Member Companies' Talent Acquisition, Recruiters, University / Campus Relations)

Please verify that you are human*