Reboot Scholars intake Form

The mission of Reboot Representation is to double the number of Black, Latina, and Native American women achieving computing bachelor’s degrees by 2025.

If you identify as a Black, Latina, or Native American woman/non-binary undergraduate student, pursuing a computing degree, or a part of a Reboot-funded program: YOU ARE A REBOOT SCHOLAR!*

Our vision is to create educational, economic, and personal growth opportunities for every Reboot Scholar, and we are working hard to ensure that all of you have equal access to these opportunities. To make sure people have equal access is to understand the gender, race, ethnicity, and other important demographic information of our members and then to measure how we are sharing opportunities in an equitable fashion. Representation matters! The Reboot team wants to get it right by counting its members in a way that truly represents them in order to bring genuine and meaningful engagement.

 

*Please complete this form to learn more about how to become a Reboot Scholar!

Are you over 18 years of age or over?
Name
Name
First
Last
Do you identify as a first generation college student?
‘First Generation’ means that neither of your parents have completed a four-year university degree.
Do you identify as a member of the LGBTQ+ community?*
Which of these racial identities applies to you? (Please check all that apply.)
The Reboot team will NEVER share your cell phone number or address without your consent. We would like your mailing address to send you some swag and text message reminders (you can opt-out at any time).

Permanent Address (where we can send you swag)

Which Reboot program(s) are you participating in? (Please check all that apply.)
Which of the following military affiliations apply to you? (Please check all that apply.)
Which of the following parent / guardian / caretaker identities apply to you? (Please check all that apply.)
How did you hear about Reboot? (Please check all that apply.)
Terms & Conditions