TeckyVan Foundation Student & Learner Registration Tell us about your interests and goals so TeckyVan can match you with suitable technology training and workforce-development opportunities. Leave this field empty 1. Age & Contact InformationApplicants under 18 require a parent or guardian contact. Applicants under 13 must have a parent or legal guardian complete this registration on their behalf. Age Group * required Select an Option Under 1313–1516–1718–2425–3435–4445 or older Student / Learner Full Name * required Student Email Address * required Required for applicants age 13 or older. Applicants under 13 should use the guardian contact section. Student Phone Number * required Required for applicants age 13 or older. City * required State / Province / Region (if applicable) Country * required Select a Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia, Plurinational State ofBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldova, Republic ofMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuela, Bolivarian Republic ofViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands ZIP / Postal Code Parent / Guardian Full Name * required Required for applicants under 18. Parent / Guardian Email * required A secure consent request will be sent to this address. Parent / Guardian Phone * required Required for applicants under 18. I am the parent or legal guardian completing this registration on behalf of an applicant under 13. * required Required for applicants under 13. 2. Education & Current Status School, College, Employer, or Organization Current Education Level * required Select an Option Middle schoolHigh schoolCollege / UniversityGraduate / ProfessionalCompleted formal educationOther What best describes you? * required Select an Option StudentEmployedJob seekerCareer changerEntrepreneur / Business ownerOther Current Technology Experience * required Select an Option Beginner — little or no experienceBasic — some familiarityIntermediate — practical experienceAdvanced — professional or extensive experience 3. Technology InterestsSelect all areas you would like to learn or explore. Technology Areas * required IT Support / Help Desk Computer Hardware Networking Cisco Technologies Cybersecurity Cloud Computing Microsoft Technologies Google Technologies Amazon Web Services (AWS) Data Analytics Artificial Intelligence (AI) Software Development / Coding Data Center Technology Field Technician / Field Services Low-Voltage / Structured Cabling Other What would you most like TeckyVan to help you achieve? * required Are you interested in earning an industry certification? * required Yes Maybe Not currently Are you interested in internships, apprenticeships, or entry-level technology jobs? * required Yes Maybe Not currently 4. Participation & Availability Which opportunities interest you? * required Hands-on technology workshops Bootcamps Technology labs Certification preparation Mentoring / career guidance Resume / LinkedIn support Interview preparation Internship / apprenticeship opportunities Job opportunities Community technology events How would you prefer to participate? * required In person Virtual Hybrid / flexible General Availability * required Weekdays — daytime Weekdays — evenings Weekends School breaks / holidays Flexible Is there an accommodation or participation support we can provide to help you access the program? Please describe the accommodation or support you need; you do not need to provide a medical diagnosis. 5. Communications & AcknowledgmentPlease review the TeckyVan Privacy Notice before submitting. Program Updates * required Yes, keep me informed. No, thank you. I have reviewed the TeckyVan Privacy Notice and understand how information submitted through this registration will be used to evaluate registration, communicate about programs, and administer relevant services. * required I confirm that the information provided is accurate to the best of my knowledge and understand that registration does not guarantee placement in a particular program, internship, or job. * required Submit Registration Please do not submit Social Security numbers, driver’s-license numbers, financial information, medical diagnoses, or background-check credentials through this form.
