Date of Birth
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Current Age
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If yes, please enter your Mobile Number
Street Address
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City
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State
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Zip Code
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LinkedIn Profile
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This application requires a short pre-recorded video. Please upload a viewable link to your video response answering this question, "Briefly introduce yourself and share what excites you about design, storytelling, and/or creating experiences." (No more than 1.5 minutes long)
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How many people are currently living in your household (including yourself)?
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Estimated Household Income
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$10,000 to $19,999
$100,000 to $149,999
$150,000 or more
$20,000 to $29,999
$30,000 to $39,999
$40,000 to $49,999
$50,000 to $59,999
$60,000 to $69,999
$70,000 to $79,999
$80,000 to $89,999
$90,000 to $99,999
Less than $10,000
If yes, what is the name of the college or university you are currently attending? [If not enrolled, please type in "N/A"]
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What is your major? [If not enrolled, please type in "N/A"}
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If pursuing other degree. Please specify. [If not enrolled, please type in "N/A"]
What year do you currently expect to graduate college? Please only input the year. [If not enrolled please type in "Not Currently Enrolled"]
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Have you ever attended a community college: If other, please specify
Please list any other colleges or universities you've attended:
Please list the academies or internship placements that you’ve received through LA-Tech.org
We would love to see your work! Please provide the link to your personal website or portfolio (If applicable)
Additional Supporting Material
Please share with us what roadblocks you have experienced related to career support
If other, how did you hear about us?
If you heard about LATech.org through a friend, please type their first and last name:
If you heard about LATech.org through a staff member, please type their first and last name: