Application – CTRL+SHIFT

405.552.1013

info@ctrl-shift.dev

Applications For Round 1 Are Due August 5, 2019.

Days

Hours

Minutes

Seconds

Name

Phone

Address

Highest Level Of Education

Less than High School High School Some College 2-year Degree 4-year Degree Graduate Degree

Have you ever been a client of Palomar or a Partner Agency?

Yes No Not Sure

Are you requesting a grant for living expenses during the program?

Yes No Not Sure

If you have been a client of Palomar or a Partner Agency, please list the agency or agencies you worked with.

What interests you about a career in web and software development?

Why do you want to be in this program specifically?

Tell us about a time when it was difficult to make sense of the situation or need. Please explain what you did.

Describe a time when you changed your approach to something based on feedback you received.

Describe a time you were faced with a complex problem and had to get to the root cause in a short period of time.