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Macklemore Academy Registration Form
1. Personal Information
Full Name:
Gender:
Male
Female
Prefer not to say
Primary Email Address:
Alternate Email Address:
Nationality:
State/Province/Region
Street Address
City
2. Educational and Professional Background
Highest Level of Education:
High School
Diploma
Bachelor’s
Master’s
Other
Current Occupation:
Student
Employed
Self-Employed
Unemployed
If employed, specify your industry/profession:
Do you have any prior experience in tech or business?
Yes
No
3. Program Selection
Which training program are you applying for?
Cybersecurity
Web Development
Data Science
Fundamentals of AI
Digital Marketing
IT Support
Content Writing
4. Motivation and Goals
Why do you want to participate in this training?
How do you plan to use the skills learned?
Are you interested in an internship opportunity after the program?
Yes
No
5. Availability & Commitment
Do you have a stable internet connection to attend online sessions?
Yes
No
Can you commit to the full program duration?
Yes
No
6. Referral & Additional Information
How did you hear about this training?
Social Media
Referral
Website
Other
Do you have any special requests or additional information we should know?
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