Mark Cuban Foundation AI Bootcamp-Parent Application

1
Source
2
Student ID
3
Today's date
Date
Year
Month
Day
4
Bootcamp date
Date
Year
Month
Day
5
Video Introduction If you haven't already, please watch this introduction video. You will need to either pause or watch the video to completion before proceeding. .
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Name* This field is required.
First Name
Last Name
7
Email* This field is required.If your student has already completed their portion of the application, please use the parent/guardian email they provided.
example@example.com
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Phone Number* This field is required.You will receive text notifications from MCF. Standard messaging rates apply.
Please enter a valid phone number.
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What is your relationship to the student?* This field is required.
ParentGuardian
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Student name* This field is required.
First Name
Last Name
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The student email address must be the student personal email address. It must be different from your email address. Using a school email is prohibited as we will be unable to email at that address.
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Student email address* This field is required.Please use your student's personal email address.
example@example.com
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Student date of birth* This field is required.
Date
Month
Day
Year
14
Age at time of camp
15
Address* This field is required.MCF will confirm eligibility for attendance based on proof or residence for at least one parent/guardian living within a 15–20-mile radius of the city selected and or through verified local school enrollment
Street Address
Street Address Line 2
City
Please Select
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
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Does your student qualify for free or reduced lunch?* This field is required.The Mark Cuban Foundation is committed to its mission to serve underserved students. We measure this by ensuring that as many students attending boot camp as possible are on free and reduced lunch.
YESNO
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Household size* This field is required.
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Annual household income* This field is required.This data point will be aggregated and used to ensure that MCF is serving Low to Moderate Income students.
Less than $10,000
$10,000 - $29,999
$30,000 - $49,999
$50,000 - $69,999
$70,000 - $89,999
$90,000 - $110,000
More than $110,000
I do not wish to answer
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Media ReleasePlease e-sign your full name below to confirm: I have read and agree to the Media Release
Clear
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Who told you about bootcamp?* This field is required.
Teacher
Counselor
Principal
Community/Non-profit Leader
Organization
MCF Website
Other
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Which organization?
CSforAll
Teach for America
National Girls Collaborative Project
Microsoft TEALS
ISTE
Project Lead the Way
Brown Girls Code
Black Girls Code
All Star Code
REC
Code.org
First Inspires
Amazon Future Engineer
Meta's Engineer for the Week
Computer Science Teacher Association
Robotics Education and Competition Foundation
Infosys Foundation
The AI Education Project
AI for Teachers
SMASH Academy
Other
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How did you/they hear about bootcamp?* This field is required.Select all that apply
Peachjar
Twitter
TikTok
Instagram
LinkedIn
Flyer
Newsletter
News Station
Radio Station
Internet Search (Google)
Other
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Mark Cuban Foundation AI Bootcamp Guidelines* This field is required.I have read and agree to the MCF AI Bootcamp Guidelines
YESNO
24
By submitting this application, I affirm and certify that all the information and answers to questions are complete, true, and correct to the best of my knowledge and belief. I affirm and certify that this submission was completed without the assistance of any outside individuals or third parties.

Your student will be receiving a pre-survey in late August. This is a requirement of the admission process. Please be sure to have them complete it once it's emailed to them.
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