Mom Relaunch Salesforce Developer Training
Application form to participate in Mom Relaunch Salesforce Developer Training Course (DEX450: Programmatic Development Using Apex and Visualforce in Lightning Experience).

Mom Relaunch, empowering moms returning to the workforce with training and hands-on skills, has joined with  Salesforce, the global leader in CRM utilized by 150,000+ companies worldwide, and K2 University, which helps enterprise software professionals with skills and training in growth technologies along with certifications, to provide a successful pathway to career reentry.

Application deadline: February 25, 2019 at 2pm Pacific Time / 5pm Eastern Time

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First Name *
Last Name *
Email *
Phone *
Mailing Address *
City *
State *
Country *
Age *
Ethnicity *
How long have you taken a career break? *
List your computer skills do you have. *
List any types of professional skills training you have had.
Tell us why you want to be a Salesforce developer.
List all your prior professional experience by company and title, including volunteer experience (e.g. IBM, Software Engineer) *
When are you available to start work? *
How many hours per week are you able to work when you get back into the workforce? *
Would you be interested in volunteering your time with Mom Relaunch? *
Would you be interested in doing volunteer internship with Mom Relaunch to build your skills? *
Do you hold a valid work permit for USA? *
Rate your technical skills *
Weak
Strong
Rate your communication skills *
Weak
Strong
Rate your English language ability *
Basic
Fluent
What industry do you have prior work experience in and/or are interested in building experience in? *
Why are you a prime candidate for the Salesforce developer training cohort? (Max 3,000 characters)
What is the biggest problem/hurdle for women to have a career in IT? Describe the problem and how you would solve it. (Max 3,000 characters)
What is the biggest problem/hurdle for women returning to the workforce? Describe the problem and what you will like to do to overcome it. (Max 3,000 characters)
Are you able to afford the $1800 training cost? If there is a challenge, please share your situation so we can explore sponsorship for at least a portion of the fees. *
How did you hear about Mom Relaunch? *
Please provide any suggestions or feedback regarding Mom Relaunch. We welcome your insights.
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