TECH A CHILD INITIATIVE FORM

1. BENEFICIARY SECTION

Name

Phone

Street Address

City

State/Province

Country

Date of Birth

2. TECH BACKGROUND

Have you used the internet before ?YesNo

Have you used a computer before ?YesNo

What tech tools are you most interested in learning about ?YesNo

Do you own any tech devicesYesNo

Feedback Questions

Do you have any concerns about the TECH A CHILD INITIATIVE training

What tech tools are you most interested in learning about ?

3. Code of Conduct Agreement

I agree to adhere to the following rules and guidelines during the TECH A CHILD INITIATIVE training.1. I will respect all participants and instructors.2. I will follow all instructions provided by the instructors.3. I will use tech tools responsibly and only for program-related activities.4. I will report any issues or concerns to the program staff immediately

4. GUARDIAN SECTION

Parent’s/Guardian's Full Name

Parent’s/Guardian’s Relationship to Participant

Parent's/Guardian's Phone Number

I, [Guardian's Full Name], give my consent for [Participant's Full Name] to participate in the Feed Needy World Initiative's TECH A CHILD INITIATIVE training and I understand that this training involves the use of various tech tools and internet access.I agree