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Full Name Preferred Name Gender Select GenderMaleFemalePrefer not to say Age Group Select Age GroupBelow 1818–2425–3435–4445–5455 and above Phone Number (WhatsApp Preferred) Email Address District / Town
Highest Level of Education Select Education LevelPrimaryO-LevelA-LevelCertificateDiplomaBachelor's DegreePostgraduateOther Area of Study / Specialization How often do you use a computer? Select FrequencyNeverRarelySometimesFrequentlyEvery Day Which devices can you access? SmartphoneLaptopDesktop ComputerTabletI do not currently have access to a computer Which of these tasks can you currently perform? TypingUsing a Mouse & KeyboardCreating and Managing Files/FoldersMicrosoft WordMicrosoft ExcelMicrosoft PowerPointInternet & EmailOnline ResearchSocial MediaGraphic DesignWebsite DevelopmentProgrammingNetworkingData AnalysisDigital MarketingNone of the above General Computer Use Select LevelI have never used a computerI need significant assistanceI can perform basic tasksI am comfortable using a computerI am highly confident Are you willing to complete practical exercises and assignments given during the Bootcamp? Select OptionYesMost of themI will need supportNot sure What could prevent you from participating consistently? Internet ChallengesLimited DataLimited Computer AccessWork ScheduleSchool ScheduleFamily ResponsibilitiesTime ManagementLimited ICT KnowledgeNothing at the momentOther
Have you previously attended ICT or computer training? Select OptionYesNo
Select Bootcamp Program Digital Marketing Fundamentals – 12 September 2026Web Development Bootcamp – 6 Oct 2026Data Analysis with Excel & SQL – 13 Oct 2026Graphic Design with Canva & Figma – 17 Nov 2026Personal Financial Literacy – 1 Dec 2026Not sure yet Preferred Class Schedule Weekday EveningsWeekends How Did You Hear About Us? FacebookWhatsApp GroupFriend/ReferralGoogle SearchOthers Your Message (Optional)
