Greater Niagara Digital Education
Program Signup Form
Welcome to the Greater Niagara Digital Education signup page!
We're excited to help you start your journey towards digital literacy and empowerment. Please fill out this form to register your interest, and we'll get in touch with more information on how to proceed.
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Current Employment Status:
Employed
Unemployed
Self-Employed
Retired
Student
Education Level
High School or Equivalent
Some College
Bachelor's Degree or Equivalent (Work Experience)
Graduate Degree
Trade School or Tech Certifications
Other
Are you part of any of the following groups? (Check all that apply)
Underserved Community
Low-Income household
Justice Impacted (you or family has been affected by the justice system)
None of the Above
Tech Skills Interest Area(s): (This can help tailor the training to your interests)
UX Design (Digital Product Design)
Digital Marketing
IT Support
Data Analytics
Project Management
Cybersecurity
Tech Sales
Software Development
Generative AI
Other
How did you hear about us?
Social Media
Referral
Event
Other
Motivation for Joining
Briefly share why you are interested in joining the Greater Niagara Digital Education Program.
Consent and Privacy
I agree to the terms and conditions and acknowledge the privacy policy.
Agreed
I consent to be contacted with further information about the Greater Niagara Digital Education Program and related opportunities.
Agreed
Submit
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