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CODEXCEL APPLICATION FORM

CODEXCEL SPRING SPECIAL: $50 REGISTRATION FEE (APRIL 1 - MAY 20, 2024 ONLY)

TO BE CONSIDERED FOR THE CODEXCEl TRAINING, YOU MUST SUBMIT THIS APPLICATION form and payment of the $125 course and material fee.

upon SUBMITTING YOUR APPLICATION OR ATTENDING A CODEXCEL EVENT, you hereby grant permission to VICTORY VILLAGE CORP AND ITS PARTNERS to use photographs and/or video of THE APPLICANT, THEIR INVITEES, FAMILY, FRIENDS, OR PARTICIPANTS taken on ALL DATES IN 2022-2024 at ALL LOCATIONS in publications, news releases, online, and in other communications related to the mission of VICTORY VILLAGE CORP. Thank you!

CODEXCEL PREP and plus Courses (FOR GRADES 7 - 11)
associate tech Instructors and industry apprentices (FOR GRADE 12)
mentor, volunteer, or trainer
Builders class is not taking place in summer 2024 due to low enrollment.

First Name

Last Name

Applicant Classification

Applicant's Phone

GENDER IDENTIFICATION (FOR DIVERSITY)

PRIMARY Email

CURRENT SCHOOL NAME OR ORG

Parent/Guardian's Name & pHONE

Extracurricular Activities (for scheduling purposes)

none

football/basketball

volleyball/soccer/baseball

band

drama/art club (afterschool)

advanced placement (ap) or dual credit

afterschool technical program

other afterschool activity

special olympics

Disability (FOR MINOR ACCOMMODATION)

none

dyslexia/dysgraphia/dyscalculia

physical disability (needs minor movement assistance)

other (please specify by email before registration)

Thanks for submitting!

Email: contact@vvcorp.org ©2024 by VICTORY VILLAGE CORP

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