Name *

First Name

Last Name

Which program are you interested in ? *

Orientation Course (4 Weeks)

Web Development (6 months)

Both

Do you have regular access to an Internet-connected computer? *

Yes

No

Are you currently enrolled in a university program? *

Yes

No

How would you assess your fluency in English? *

I have only a tiny understanding I speak fluently and understand very well.

1

2

3

4

5

How would you assess your computer skills?

I have never used a computer. I am very confident and can do most things.

1

2

3

4

5