Citadel–Edversity Tech Fellowship Application

1

Full Name* This field is required.

First Name

Last Name

2

Email Address* This field is required.

example@example.com

3

Phone Number* This field is required.

Please enter a valid phone number.

4

Age Group* This field is required.

5

Gender* This field is required.

Male

Female

Prefer not to say

6

City* This field is required.

7

Education Level* This field is required.

8

Name of University / Institute* This field is required.

9

Are you currently a student?* This field is required.

Yes

No

10

Are you currently freelancing?* This field is required.

Yes

No

11

Do you have an IT background?* This field is required.

Yes

No

12

Which program do you want to enroll in?* This field is required.

13

Pricing Plan* This field is required.

14

Can you attend classes onsite in Blue Area, Islamabad?* This field is required.This program is fully onsite at Blue Area, Islamabad.

Yes

No