Launchpad 2023 Application

Launchpad 2023 Application

Thank you for your interest in Launchpad! Please take the time to carefully fill out this application and double check the spelling of your name and contact information. This should take about 10-15 minutes. Applications are due Midnight on Sunday November 5th!
Personal Information
Full Legal Name*

First NameLast Name
Preferred Name (optional)
Birth Date*

MonthDayYear
E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Stop! Before you move forward hit the "save" button below!

This will let you come back and finish your application if you don't have time right now. After you hit save you can hit the "x" to continue with your application.

Parent/Guardian Information

Please fill this out as accurately as possible as we will need your parent/guardian to complete a separate form.
Parent/Guardian Name*

First NameLast Name
Parent/Guardian E-mail*
example@example.com
Parent/Guardian Phone Number*
Format: (000) 000-0000.
Who is this person (mother, uncle, grandmother, caregiver, etc.)?*
YesNo
Parent/Guardian #2 Name

First NameLast Name
Parent/Guardian #2 E-mail
example@example.com
Parent/Guardian #2 Phone Number
Format: (000) 000-0000.
Who is this person (mother, uncle, grandmother, caregiver, etc.)?

Personal Statement

This is the final step of the application! Almost done! If you are unsure what to write about, consider the following questions: What am I passionate about? What makes me interested in technology? What is my background? What are my goals? What was a time I had to overcome an obstacle?
In about 300 words, tell us why you are interested in Launchpad and how you think Launchpad can help you reach your passions and career goals.
Should be Empty:

Stop! Before you move forward hit the "save" button below!