TAG-Ed Bridge Builders
Fill out the form below to apply for the Inclusive Tech Resume Database & Job Board
Basic Info
First Name
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Last Name
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Email
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example@example.com
ZipPostal Code
*
Demographic Information
Gender
*
Please Select
Female
Male
Non-binary
Decline to self-identify
Race
*
Please Select
Hispanic or Latino
White (Not Hispanic or Latino)
Black or African American (Not Hispanic or Latino)
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
Asian (Not Hispanic or Latino)
American Indian or Alaska Native (Not Hispanic or Latino)
Two or More Races (Not Hispanic or Latino)
Decline to self-identify
Veteran Status
*
Please Select
Yes, I am a veteran.
No, I am not a veteran.
I prefer not to disclose my veteran status.
Disability Status
*
Please Select
Yes, I have a disability, or have had one in the past
No, I do not have a disability and have not had one in the past
I prefer not to disclose my disability status
Do you live in a rural area?
Please Select
Yes
No
Professional Qualifications
Do you have a degree or certificate in one of the following?
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Cybersecurity
CompTiA (any)
WTS
Cloud
AWS
Project Management
CDP
CEH
Google Professional Cloud Architect
CSM
CISSP
Other Related CS or IT Certification
None
List other relevant degrees or certifications:
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Do you have two (2) or more years of tech experience?
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Yes
No
Which program or organization referred you?
Please Select
Per Scholas
City of Refuge
OneTen
GenSpark
Diversity Council
Clark Atlanta University
Morehouse College
Spelman College
Georgia State University
Georgia Gwinnett College
Other
Other referring organization or program:
Please verify that you are human
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