Career & Digital Scholars Application Form

Economic and Workforce Development is committed to providing accessibility for everyone. If you have accessibility needs that make it difficult to complete this form, contact Blake Dowling at lcewd-ada@larimer.org or 970.498.6041.
Career & Digital Scholars

Please enter the following information and a member of our staff will contact you to complete your registration.
Requirements
To be eligible for the Career Scholars and/or Digital Scholars programs, you:*

Must be at least 17 years oldAre not in high school or attending a private secondary schoolMust be looking or preparing for a new job / career
and must be in one of these categories:*

You do not have a high school diploma or equivalentYou need improved digital literacy/computer skills for employment opportunities
Select program(s) to apply for:*

Career Scholars - assessment, individual tutoring, and online educational support for obtaining your GED certification.Digital Scholars - assessment, individual tutoring, and online coursework for improving your computer knowledge and skills.
Personal Contact Info
Name*

First nameMiddle NameLast Name
Preferred Name*
Birth Date*

MonthDayYear
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Residential Zip Code*
Please enter your home zip code.
Background
Why is earning your High School Equivalency/GED important to you?*
What specific computer skills are you looking to improve?*
Why will participating in this program(s) help you?*
Are you a Veteran of the U.S. Armed Forces?*

YesNo
What is your primary language?*

EnglishSpanishOther
What is the highest level of education you have completed?*

No SchoolingGrades 1 - 5Grades 6 - 8Grades 9 - 12 (no diploma/credential)Secondary diploma / alternate credentialSecondary equivalentSome post-secondary education, no degreePost-secondary/professional degreeUnknown
Education Location:*

U.S.-based schoolingNon-U.S.-based schooling
How did you learn about these programs? (select all that apply)*

Family, friend, neighborWorkforce CenterVocational RehabHealth/Human ServicesEmployerCommunity Assistance AgencyEducational AgencyCourt or CorrectionsPrinted ad or flyerInternet/WebPreviously AttendedOther
Which of these do you have regularly available to you? (select all that apply)*

Computer with CameraComputer without CameraHeadset / MicrophoneMobile phoneHome phoneInternetPrinterScannerNone of these
Career Scholars
Digtial Scholars
Program Text
Should be Empty:

Career & Digital Scholars

Requirements

Personal Contact Info

Background