Nominate a High School Girl to ChickTech
ChickTech: High School starts out with a 2-day event in Downtown San Francisco December 9th & 10th. 

Through really fun, hands-on workshops that allow students to create projects, they'll learn about all the exciting stuff you can do with tech. 
No experience with this kind of thing? Don't worry!
Our workshops are designed especially for students with no experience.

To nominate a high school girl for this super fun event series follow the prompts here. 

You can also download a spreadsheet here https://goo.gl/1RUCce
(copy/paste the link in our browser) and it submit to SanFrancisco@chicktech.org 

Thank you!

start
 
Your information

 
First Name *

 
Last Name *

 
Phone Number

Not required but nice if you have it.
 
Relationship to students

Nice to have but not required.
 
What is the name of the school you represent? *

 
Do you have multiple students and want to upload a spreadsheet?

You may only nominate 5 students using our easy submission form. Download a template here if you would like to nominate more than 5 girls.

http://bit.ly/BAYHSFORM
     
 
Student's information

 
Students First Name *

 
Students Last Name *

 
What grade are they in? *


 
Does this girl have any special needs?

 
Is this student on lunch assistance?

 
Do you need to nominate another student? *

You may only nominate 5 students per submission. If you need to nominate more either refresh this at the end of your submission or submit a spreadsheet to us at SanFrancisco@chicktech.org.
     
 
Student's information

 
Students First Name *

 
Students Last Name *

 
What grade are they in? *


 
Does this girl have any special needs?

 
Is this student on lunch assistance?

 
Do you need to nominate another student? *

You may only nominate 5 students per submission. If you need to nominate more either refresh this at the end of your submission or submit a spreadsheet to us at SanFrancisco@chicktech.org.
     
 
Student's information

 
Students First Name *

 
Students Last Name *

 
What grade are they in? *


 
Does this girl have any special needs?

 
Is this student on lunch assistance?

 
Do you need to nominate another student? *

     
 
Student's information

 
Students First Name *

 
Students Last Name *

 
What grade are they in? *


 
Does this girl have any special needs?

 
Is this student on lunch assistance?

 
Do you need to nominate another student? *

     
 
Student's information

 
Students First Name *

 
Students Last Name *

 
What grade are they in? *


 
Does this girl have any special needs?

 
Is this student on lunch assistance?

 
If you have additional students to nominate, please upload your spreadsheet here.

This is for those who want to upload a spreadsheet. Skip if you are not uploading a spreadsheet. 

DOWNLOAD SPREADSHEET TEMPLATE HERE: http://bit.ly/BAYHSFORM
You are all set! We will be in touch with next steps. 

Questions or thoughts? Please email us at SanFrancisco@chicktech.org.
Thank you for your nominations!