Trap University Registration Form

1
The Atlanta Technology Workforce Ecosystem connects people that live in underserved communities to no-cost or low-cost internet and mobile phone services, computing devices, personal and professional support services and technology workforce readiness programs. (Select all that apply).* This field is required.
Free Home Internet & Mobile Phone Services (ACP)
No-Cost to Low Cost Computing Devices (Laptops & Desktops)
Personal & Professional Support Services
Technology Workforce Readiness Training
2
This year, at least one person in my household has received (Select all that apply)* This field is required.
Free or Reduced-Price School Breakfast/Lunch Program or School Breakfast Program
SNAP
Medicaid
Federal Housing Assistance
Supplemental Security Income (SSI)
WIC
Veteran Pension or Survivor Benefits
The Lifeline Program benefits
Federal Pell Grant
None of the above
3
What best represents your current household income?* This field is required.
$0 - $10,000
$10,000 - $25,000
$25,000 - $40,000
$40,000 - $65,000
$65,000 - $80,000
Over $80,000
4
How many people live in your household (include yourself)?* This field is required.
1
2
3
4
5
6
More than 7
5
Technology Workforce Readiness Programs* This field is required.Select program(s)
Cybersecurity
Software Development
Data Science & Analytics
Web3
Game Development and Design
Creative Technologies
6
Trap University Registration Form* This field is required.
Name (First & Last)
Race/Ethnicity
Sex
City
State
Please Select
Please Select
Option 1
Option 2
Option 3
Phone
Email
Race/Ethnicity
7
8
Should be Empty: