Youth Intro Class Application
Program Participant Information
Please do not use the same first name, last name, suffix, and email address as that of your parent/guardian if possible.
First Name
Last Name
Suffix
Please select...
Sr.
Jr.
III
PhD
MA
Preferred Name
Pronouns?
Please select...
He/Him/His
She/Her/Hers
They/Them/Theirs
Other
Pronouns - If other:
Program Participant Contact Information
Street Address
City
State
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AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AS
DC
GU
MP
PR
VI
Zip/Postal Code
County
Please select...
Alameda
Contra Costa
Marin
Napa
Sacramento
Santa Clara
San Francisco
Sonoma
San Mateo
Solano
Other
Personal Email Address
Preferred Phone
Please select...
Mobile
Home
Work
Other
Mobile Phone
Home Phone
Work Phone
Other Phone
Additional Participant Information
Have you attended BAYCAT before?
Please select...
Yes
No
If Yes, what program(s) have you participated in and for which year(s)?
Birthdate
Gender
Please select...
Female
Male
Non-Binary
Transgender
Other
Decline to State
Gender - Other
Ethnicity
Please select...
Asian/Asian American
Black/African American
Hispanic/Latino/a/x/e
Indigenous/Native American/Alaskan Native
Middle Eastern/North African
Multiracial
Other
Native Hawaiian/Pacific Islander
White
Ethnicity - Other
How did you hear about BAYCAT?
Please select...
Friend/Family
School/Teacher
Employer
Internet Search
Social Media
TV
Radio
Event
Promotional Material
Other
Social Media Platform
Please select...
Instagram
Facebook
Twitter
LinkedIn
Other
Social Media - Other
How did you hear about BAYCAT? - Other
Please share details like the name of the person or organization that referred you or which event or place or platform where you learned about BAYCAT.
Program Participant Academic Information
School Currently Attending
Is your school in San Francisco?
Please select...
Yes
No
Current Grade in School
Please select...
K
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Expected Graduation Year
Parent/Guardian Contact Information
Please do not use the same first name, last name, suffix, and email address as that of the applicant if possible.
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian Suffix
Please select...
Sr.
Jr.
III
PhD
MA
Parent/Guardian Preferred Name
Parent/Guardian Personal Email
Parent/Guardian Preferred Phone
Please select...
Mobile
Home
Work
Other
Parent/Guardian Mobile Phone
Parent/Guardian
Home Phone
Parent/Guardian
Work Phone
Parent/Guardian
Other Phone
Household Information
Number of Persons in your Family
Please select...
1 Person
2 Persons
3 Persons
4 Persons
5 Persons
6 Persons
7 Persons
8 persons
Annual Household Income
Please select...
$0 - $39,150
$39,151 - $63,950
$63,951 - $104,400
$104,401 or greater
Annual Household Income
Please select...
$0 - $44,750
$44,751 - $74,600
$74,601 - $119,300
$119,301 or greater
Annual Household Income
Please select...
$0 - $50,350
$50,351 - $83,900
$83,901 - $134,200
$134,201 or greater
Annual Household Income
Please select...
$0 - $55,900
$55,901 - $93,200
$93,201 - $149,100
$149,101 or greater
Annual Household Income
Please select...
$0 - $60,400
$60,401 - $100,700
$100,701 - $161,050
$161,051 or greater
Annual Household Income
Please select...
$0 - $64,850
$64,851 - $108,150
$108,151 - $173,100
$173,101 or greater
Annual Household Income
Please select...
$0 - $69,350
$69,351 - $115,600
$115,601 - $184,900
$184,901 or greater
Annual Household Income
Please select...
$0 - $73,800
$73,801 - $123,050
$123,051 - $196,850
$196,851 or greater
Program Information
Which of the following topics are you most interested in? If there is only one listed, that is the only subject we are offering this term.
Please select...
Filmmaking
Audio
Do you have prior experience with
filmmaking
, graphic arts or any other digital art? Please share:
Contact Information