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Are you 17 to 29 years old? *

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What is your highest level of education? *

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What is your employment status? (check all that apply) *

What barriers to employment or education do you face? How are you disadvantaged? *

Have you learned coding or other tech skills? If yes, what have you learned? *

Why are you interested in coding? *

How did you hear about Nomads Innovation? Who referred you? *