iT4Teens Enrollment Form
This form is for parents and students exploring future-ready IT and Cyber Security education through IT4Teens Academy. Please complete the information below. A member of our team will follow up with next steps, class availability, and enrollment details.
Who is completing this form?
Please Select
Parent/Guardian
School Counselor/Teacher
Parent Name
*
Parent Email
*
Parent Phone
Best method of communication
Email
Text
Student Name
*
Student Grade
*
Please Select
9 (Can only sign up for Internet Technology)
10
11
12
Student School Name
*
Student Email
Course
Please Select
Internet Technology (Online Self-Paced)
Internet Design I
Internet Design II
Internet Security
Preferred session (Internet Security Academy)
Please Select
2026 Fall Session #1
2026 Fall Session #2
2027 Spring Session #1
2027 Spring Session #2
Preferred Class Time (Internet Security Academy) (Saturday Only)
Please Select
10am - 11am
11am - 12pm
12pm - 1pm
1pm - 2pm
2pm - 3pm
4pm - 5pm
5pm - 6pm
Internet Security Academy is a recommendation-based program.Students are considered for acceptance with a recommendation from a teacher or school counselor. Internet Technology is a stand alone entry level course.
I acknowledge and understand the admission requirement
After student acceptance, an iT4Teens administrator will contact you to coordinate payment details and class scheduling.
I acknowledge and understand the tuition and scheduling process
Full Name
*
Your Role
*
Please Select
Teacher
Counselor
Administrator
STEM Coordinator
Why are you recommending this student for iT4Teens Academy?
*
Submit
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