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Grow with Google Application and Computer Literacy Form
The application helps us learn more about your personal and professional goals, your interest in the Grow with Google program, and how you plan to use the training if selected. The computer literacy survey helps us understand your current comfort level with technology and identify any support you may need to succeed in the program. Both are essential for us to match you with the right resources and determine your readiness to join the next cohort.
What is your full name?
*
What is your birthday?
*
-
Month
-
Day
Year
Date
Which gender do you identify as?
*
Man
Woman
Non-binary
Other
What is your zip code?
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your email?
*
example@example.com
What is your phone number?
*
Please enter a valid phone number.
Format: (000) 000-0000.
What is your preferred method of contact?
*
Email
Phone Call
Text Message
What is your race/ethnicity?
*
Black or African American
Hispanic or Latino
White
Asian
Native American or Alaska Native
Native Hawaiian or Pacific Islander
Other
Prefer not to say
Do you have any children or dependents?
*
Yes
No
If yes, how many?
What is your current employment status?
*
Employed full-time
Employed part-time
Unemployed
Self-employed
Student
Other
CFLS services clients who have experienced domestic violence or are returning home after incarceration. Please select an option that you identify with:
*
Returning Citizen
Survivor of Domestic Violence
Justice Affected
Other
What is your current monthly income? (Before taxes)
*
Less than $1,000
$1,000 - $2,499
$2,500 - $4,999
$5,000 - $7,499
$7,500+
Are you currently receiving any public assistance?
Have you previously completed any Google Career Certificates or similar programs?
*
Yes
No
Other
If yes, or other, please specify.
What's the highest level of education that you've completed?
*
No High School DIploma
High School Diploma/GED
Some College
Associate's Degree
Bachelor's Degree
Graduate or Professional Degree
Do you have access to a reliable internet connection and device to complete online coursework?
*
Yes
No
Personal Statement (Required): What personal or professional goals will this program help you achieve, and how do you plan to use the training if selected?
*
Are you a CFLS client? If so, which program?
*
Who referred you to this program? Please include person or agency
*
AI usage is prohibited throughout the entirety of this program. I understand that AI usage may result in removal from the program.
Consent & Participation Policy
*
I agree to the above terms and confirm all information provided is accurate.
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Computer Literacy Form
The computer literacy survey helps us understand your current comfort level with technology and identify any support you may need to succeed in the program.
Continue
Continue
On a scale of 1–5, how confident do you feel about starting an online course?
*
Rows
Not at all confident
Slightly confident
Somewhat confident
Very confident
Completely confident
How confident do you feel about starting an online course?
Which course are you interested in the most?
*
Please Select
IT Support
Data Analytics
Digital Marketing & E-Commerce
UX Design
Project Management
Cybersecurity
How confident are you doing the following tasks:
*
Rows
Not at all confident
Slightly confident
Somewhat confident
Very confident
Completely confident
Creating and saving documents (Word, Google Docs)
Browsing and researching online
Sending emails with attachments
Using video platforms like Zoom
Using file-sharing tools like Google Drive or Dropbox
Creating a basic spreadsheet
Watching and understanding online video tutorials
Troubleshooting basic issues (e.g., restarting a computer, connecting to WiFi)
Do you have regular access to a computer or laptop?
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Yes
No
Do you have regular access to stable internet/Wi-Fi?
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Yes
No
Do you have regular access to a quiet place to study?
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Yes
No
How many hours per week can you realistically dedicate to this course?
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1–3 hrs
4–6 hrs
7–10 hrs
10+ hrs
How do you best learn?
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Independently
In a group setting
With one-on-one support
What challenges might make completing this course difficult for you?
*
Do you have any disabilities or learning needs we should be aware of? What accommodations would help you succeed?
*
Is there anything else you would like us to know? (Optional)
Continue
Continue
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