Student Waiting List Application

Student Waiting List Application

Provide information about your student and interests in our programs.
Thank you for your interest in Innovate Tech X pathways designed to prepare students for the future of work in an AI-powered world.

Our pathways prepare middle and high school students for the future of work in an AI-powered world through hands-on learning, real-world experiences, career exploration, mentorship, and future-ready skill development.

Spots in these programs are limited, so families can join the waiting list to be notified when new cohorts open.

Please complete the information below so we can better understand your student’s interests and goals
Section 1: Parent / Guardian Information

Please provide your contact details so we can keep you informed.
Parent / Guardian Full Name

First NameLast Name
Parent Email Address
example@example.com
Parent Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Contact Method
City
State
Zip Code
Relationship to Student

Other
Section 2: Student Information

Tell us more about the student interested in our programs.
Student First Name
Student Last Name
Student Email (if applicable)
example@example.com
Student Phone (optional)
Please enter a valid phone number.Format: (000) 000-0000.
Student Age
Student Grade Level
What type of school does your student currently attend?

Other
School Name
School District
Section 3: Student Interests

Which areas interest your student the most? (Select all that apply)
Student Interests
Section 4: Program Interest

Which programs are you interested in learning more about?
Programs of Interest
What learning format would work best for your student?
What days would work best for your student?
Section 5: Student Experience

Does your student currently have any experience with technology or coding?
Student Experience Level
If yes, what type of experience? (Select all that apply)

Other
Section 6: Career Interest

Is your student interested in pursuing a future career in STEM or technology?
Interest in STEM/Tech Career
Which careers interest your student? (Select all that apply)
Section 7: Parent Commitment

Our programs require students to commit time to learning and projects.
Would your family be able to commit to a structured program that includes scheduled classes, hands-on activities, and student projects?
Section 8: Scholarship Interest

Innovate Tech X offers limited scholarships for qualified students.
Would you like to be notified when scholarships become available?
Section 9: Information Session

Would you like to attend a parent information session about the Certified AI Engineer Pathway Program?
Would you like to attend an information session?
Section 10: How Did You Hear About Us?

Let us know how you found out about Innovate Tech X.
How did you hear about us?

Other
Section 11: Additional Comments

Is there anything you would like us to know about your student?
Additional Comments
Agreement

By joining the waiting list, you agree to receive updates about upcoming programs, enrollment opportunities, and events from Innovate Tech X.
Should be Empty:

Student Waiting List Application

Section 1: Parent / Guardian Information

Section 2: Student Information

Section 3: Student Interests

Section 4: Program Interest

Section 5: Student Experience

Section 6: Career Interest

Section 7: Parent Commitment

Section 8: Scholarship Interest

Section 9: Information Session

Section 10: How Did You Hear About Us?

Section 11: Additional Comments

Agreement