top of page

Home
Programs
Support Us
About
Events
Resources
Rural Outreach
Search Results
More

Use tab to navigate through the menu items.

Tech-Moms Application

(Salesforce Test Draft)

Thank you for your interest in our growing community of tech-moms. We look forward to getting to know you and how we can help transition your career and transform your life.

Please note that all of our in-person classes are located in Utah.

First Name*

Last Name*

Email*

Street Address*

City*

State / Province*

Postal Code*

Phone*

Birthdate*

Month

Day

Year

How many children do you have?*

Note: You do not need to be a mom to apply for Tech-Moms. If you don't have kids, enter 0.

Requires Childcare

We provide childcare support. It differs based on location. Pick yes if you would like childcare help.

Education Level*

Employment Status*

Job Level*

Job Title

(if employed)

Personal Salary*

Your own salary

Relationship & Marital Status*

Household Income*

Combined income for the adults in your household.

How did you find out about Tech-Moms?*

Laptop Availability*

Laptop (PC)

Laptop (Mac)

I do not own a laptop

A laptop is required for this course. Will you have access to one you can bring to class and use for homework during the week? We offer support to those who don't have access to a laptop. (Chromebooks are not preferred)

I identify as LGBTQ+

I am a Veteran of the U.S. Military

Race / Ethnicity*

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latina

Native Hawaiian or Other Pacific Islander

White

Some other race or ethnicity or origin

Would prefer not to answer

Check all that apply.

Describe Yourself*

Tell us a little about your background, interests, and goals.

Overcoming Challenges*

What is one challenge, professional or personal, that you had to overcome. What did you learn from that challenge?

Career Barriers*

What are the biggest barriers you face in your career?

Career Goals*

What are your short and long term goals for your career?

Technical Experience

Let us know if you have any previous technical experience (not required for the program).

Anything else you would like us to know?

T-shirt size (unisex sizing)*

Yes, subscribe me to your newsletter.

Apply

Donate

Contact

bottom of page