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Consent: Adult Learner/Parent/Guardian of Under 18yrs Old Learner

I confirm that I am over 18 years of age or I am the parent or legal guardian of the above-named student, and grant permission for my child or me to participate in the Shifting TechMindset (STM) programs/products. I understand that my child or my participation is voluntary and that I will ensure their or my commitment to the program’s requirements and guidelines.

Consent: Adult Learner/Parent/Guardian of Under 18yrs Old Learner – Use of Photographs and Video

I grant Shifting TechMindset (STM) permission to use my children’s photographs and videos captured during STM events/activities for promotional and marketing purposes. I understand that my consent is voluntary and that my child’s or my photographs and videos may be used in various digital and print materials, including but not limited to websites, social media, brochures, and presentations.

Consent: PayItForward programs

I am applying to participate in the Shifting TechMindset (STM) PayItForward programs. • I confirm that I am over 18 years of age or the parent or legal guardian of the above-named participant. • I understand that my participation is voluntary and may require a commitment to payment and adherence to other STM program requirements and guidelines. • I acknowledge that my participation may involve various activities, including collaboration with diverse groups. • I grant permission for my name, likeness, and any materials presented during the program to be used by STM for promotional and marketing purposes. • I understand that STM will take reasonable measures to protect my personal information and ensure privacy, as outlined on the STM Privacy Policy Page (https://techmindset.org/privacy-policy/). • I authorize STM to use the information provided in this application for the purpose of evaluating my suitability for the PayItForward program. • I agree to adhere to the program-specific details, intellectual property considerations, communication expectations, technical requirements, and code of conduct outlined by STM. • I acknowledge that STM is not liable for any issues arising from my participation in the program. • I acknowledge that Shifting TechMindset (STM) reserves the right to select participants based on program availability and requirements.

To whom do we owe the gratitude? Please tell us how you heard about STM

Thank you! We are excited and look forward to hopefully working with you to advance STM's cause of Empowering individuals to reach for the stars, bridging digital gaps, and promoting the spirit of paying it forward.

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Why are you interested in leveraging your talent, skills, and expertise to "PayItForward" through the STM platform? (inimum 10 words & Maximum 50 words)

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Brief Bio

Introduce yourself in one paragraph: Provide a brief bio about who you are, your background, and what motivates you. (Minimum 10 words & Maximum 50 Words

Brief Bio 2

Why are you interested in leveraging your talent, skills, and expertise to "PayItForward" through the STM platform? (inimum 10 words & Maximum 50 words)

Brief Bio 3

How do you intend to contribute to positive social change through your involvement with STM? (Minimum 10 words & Maximum 50 words)

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Introduce yourself in one paragraph: Provide a brief bio about who you are, your background, and what motivates you. (Minimum 10 words & Maximum 50 Words

Brief Bio 2

Why are you interested in leveraging your talent, skills, and expertise to "PayItForward" through the STM platform? (inimum 10 words & Maximum 50 words)

Brief Bio 3

How do you intend to contribute to positive social change through your involvement with STM? (Minimum 10 words & Maximum 50 words)

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Please briefly describe your skills, experience, or qualifications related to your selected volunteer interests. (Minimum 10 words & Maximum 50 words)

Attach your CV / Resume

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Introduce yourself in one paragraph: Provide a brief bio about who you are, your background, and what motivates you. (Minimum 10 words & Maximum 50 Words

Brief Bio 2

Why are you interested in leveraging your talent, skills, and expertise to "PayItForward" through the STM platform? (inimum 10 words & Maximum 50 words)

Brief Bio 3

How do you intend to contribute to positive social change through your involvement with STM? (Minimum 10 words & Maximum 50 words)

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Introduce yourself in one paragraph: Provide a brief bio about who you are, your background, and what motivates you. (Minimum 10 words & Maximum 50 Words

Brief Bio 2

Why are you interested in leveraging your talent, skills, and expertise to "PayItForward" through the STM platform? (inimum 10 words & Maximum 50 words)

Brief Bio 3

How do you intend to contribute to positive social change through your involvement with STM? (Minimum 10 words & Maximum 50 words)

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University / Business / Organization

Years of Experience

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Parent / Guardian First Name

Parent / Guardian Last Name

Gender

Phone

Parent / Guardian Email

Enter Email Confirm Email

Mailing Address

Street Address City State / Province / Region ZIP / Postal Code Country

Brief Bio

Introduce yourself in one paragraph: Provide a brief bio about who you are, your background, and what motivates you. (Minimum 10 words & Maximum 50 Words

Brief Bio 2

Why are you interested in leveraging your talent, skills, and expertise to "PayItForward" through the STM platform? (inimum 10 words & Maximum 50 words)

Brief Bio 3

How do you intend to contribute to positive social change through your involvement with STM? (Minimum 10 words & Maximum 50 words)

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SUPPORT OUR CAUSE THROUGH DONATION

Choose from our secure donation options and help support our mission to empower individuals, bridge digital gaps, and promote the spirit of paying it forward. Thank you for being a part of our mission at Shifting TechMindset.