Student Waiting List Application

Student Waiting List Application

Provide information about your student and interests in our tech programs.
Thank you for your interest in the Certified AI Engineer Pathway Program (CAEPP)™ from Innovate Tech X.

This program pathway prepares middle and high school students for future careers in Artificial Intelligence, technology, and innovation through hands-on learning, mentorship, certifications, and real-world experience.

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.
EmailPhoneText Message
City*
State*
Zip Code*
ParentGuardianOther
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*
6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th Grade
School Name*
School District*
Section 3: Student Interests

Which areas interest your student the most? (Select all that apply)
Artificial IntelligenceMachine LearningRoboticsSoftware DevelopmentData ScienceCybersecuritySustainability & TechnologyEntrepreneurshipNot sure yet but interested in technology
Section 4: Program Interest

Which programs are you interested in learning more about?
AI for Impact Summer CampIntroduction to AI EngineeringAI Engineer Certification Bootcamp (Microsoft aligned)AI Internship / ApprenticeshipAdvanced AI Engineer (Level II – AI-102 aligned)
Section 5: Student Experience

Does your student currently have any experience with technology or coding?
None yetBeginnerSome experienceAdvanced
PythonScratchRoboticsCoding ClubsSTEM programsAI tools (ChatGPT, Copilot, etc.)Other
Section 6: Career Interest

Is your student interested in pursuing a future career in STEM or technology?
YesPossiblyNot sure yet but exploring
AI EngineerData ScientistSoftware DeveloperRobotics EngineerTechnology EntrepreneurStill exploring
Section 7: Parent Commitment

Our programs require students to commit time to learning and projects.
YesPossiblyNeed more information
Section 8: Scholarship Interest

Innovate Tech X offers limited scholarships for qualified students.
YesNo
Section 9: Information Session

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

Let us know how you found out about Innovate Tech X.
SchoolFriend or FamilySocial MediaGoogle SearchCommunity EventTeacher / CounselorOther
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