Technology Career Program Application

Thank you for your interest in TechBridge Technology Career Program! Please complete the following form as your first step in the application journey.

Disclaimer: Our programs are delivered at no-cost to our participants. Your responses may be shared with potential funding partners.

First Name

Middle Name

Last Name

Suffix

Email Address

Phone Number

Birthdate

Address Details

Mailing Street	Mailing City
Mailing State/Province	Mailing Zip/Postal Code
Mailing Address: County

Qualifiers

Are you authorized to work in the United States?

YesNo

Please select your current age group.

Under 1818 - 2525 - 3535 - 4545 - 5555 - 6566+

Highest Level of Education Completed:

Some High SchoolHigh School Diploma or GEDSome 2 Year College or Technical/Trade SchoolSome 4 Year College/UniversityCertificate or Diploma (sub-bachelor or vocational)Associate degree or Technical/Trade School CertificateBachelor's DegreeMaster's DegreeDoctorate Degree

Are you a graduate of a Historically Black College or University?

YesNo

How did you find out about the program?

Facebook	Twitter
LinkedIn	Instagram
TikTok	Information Session
Marketing Flyer	Word of Mouth
Radio	Alumni
Nonprofit Partner (Urban League, IRC, City of Refuge, etc)

Please provide additional details about how you found out about this program. **If you were referred by a non-profit organization, please select the organization below**

Not seeing your referring organization above? Please type their name here:

Why are you applying to the Technology Career Program?

I want to enter the technology spaceI am looking to be promoted within my current organization or field

Qualifiers

Are you currently enrolled in a college or post-secondary degree program?

YesNo

Have you ever been convicted of a criminal offense (misdemeanor or felony)?

YesNo

If so, please explain for each conviction. If this does not apply, enter N/A.

Participation in our instructor-led courses requires access to a laptop/desktop computer with a working webcam and microphone, as well as internet access. Do you currently have access to these resources?

YesNo

Please note that if you select a curriculum below that is not currently open for recruitment, you may not be considered for enrollment at this time. Your application will remain on file for future offerings.

Winter 2024 Innovation Challenge Hackathon: December 9 - 20; application closes December 1

Please select the curriculum you are most interested in learning. Note: While we will take interest into consideration, final acceptance into a cohort will be dependent upon digital literacy level, education, location, and income eligibility.

Innovation Challenge HackathonServiceNow System Administrator & Implementation Specialist - ITSMIT Service & SupportSoftware EngineeringWeb DevelopmentDigital LiteracySalesforceData AnalyticsProject ManagementOther

CSA Certification

Have you already earned your ServiceNow Certified System Administrator (CSA) certification? Note: Holding your CSA will not prevent you from joining this cohort.

YesNo

Please upload a PDF of your ServiceNow CSA certificate, if applicable.

If you selected Other in the previous question, please let us know what technical curriculum you are interested in.

Have you previously been accepted into a TechBridge Program?

YesNo

What was the outcome of your previous acceptance into a TechBridge program?

Did not startStarted, but did not finishGraduated

Please provide additional details as to why you did not start the program.

Please provide additional details as to why you did not finish the program.

Education History

Please enter the name of the college(s) or post-secondary institution(s) attended.

Name of Degree

Enter your major and minor, if applicable.

Employment & Work History

Employment Type at Program Start

What is your current pay rate (per hour or annual)? If you are not currently employed, please enter N/A

Wage Range at Program Start

Are you a veteran?

YesNo

You must submit your resume.
Note: We are not looking for perfection and will provide resume support upon program acceptance.

If you were referred to this program by our partners at Goodwill of North Georgia and need help creating a resume, you can create a Career Connector account or visit your local Goodwill Career Center for help.

Are you a dislocated worker? If you've lost a job through no fault of your own (company closure, laid off, military spouse relocation), you can qualify for this program.

YesNo

Do you currently receive Government Assistance?

YesNo

Family Size (including yourself)

Number of Dependents (members of your household under age 18)

What is your gross annual household income? To calculate this number, add up the income (before taxes) of each person living in the household who is 15 years old and older.

Admission Process: Next Steps

Please be sure to submit your application using the button below.

You will receive an email with next steps.

Admission Process: Next Steps

As a reminder, the following cohorts are open for recruitment. Please note that if you select a curriculum that is not currently open for recruitment, you may not be considered for enrollment at this time. Your application will remain on file for future offerings.

Winter 2024 Innovation Challenge Hackathon

Completing an application is the first step in our admission process. Please monitor your email for the following:

1. Prerequisite Assignment Directions. Follow the directions sent from tcp@techbridge.org.

2. Digital Literacy Interview: Upon completing the prerequisite assignment we may ask you to schedule a final interview with our team.

NOTE: If you applied to an Innovation Challenge Hackathon, disregard the digital literacy interview. You will not be required to complete this step.

Please be sure to submit your application using the button below.