Register – Computer Skills Training

Name(Required)

First Last

Birth Date(Required)

Phone(Required)

Email(Required)

Address(Required)

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

Are you fluent in English?(Required)

Yes

If "No", how will you manage with the course?(Required)

Do you have access to computer?(Required)

Yes

If "No", what do you plan to take the course with?(Required)

Are you familiar with logging onto a computer?(Required)

Yes

If "No" how will you log on to the class?(Required)

What are your hopes for taking this course?(Required)

Maximum 100 characters

How will you ensure you succeed?(Required)

Maximum 100 characters

Do you live near a public library with computer access to the public?(Required)

Yes

Name of Library

Library Location

Library Manager's Email

Library Manager's Name

How did you learn about the course?(Required)

CAPTCHA

Amakon Women Empowerment Inc was born out of the desire to help disadvantaged women and youths escape poverty.