AXSOS Academy - Application Form Thank you for Joining our Webinar! Please take 5 min to fill up the following application to register in AXSOS Academy. Please enable JavaScript in your browser to complete this form.Name *FirstLastGender *MaleFemaleDate of birth (dd/mm/yyyy) *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920How old are you? *Nationality *Choose nationalityPalestinianJordanianAfghanAlbanianAlgerianAmericanAndorranAngolanAntiguansArgentineanArmenianAustralianAustrianAzerbaijaniBahamianBahrainiBangladeshiBarbadianBarbudansBatswanaBelarusianBelgianBelizeanBenineseBhutaneseBolivianBosnianBrazilianBritishBruneianBulgarianBurkinabeBurmeseBurundianCambodianCameroonianCanadianCape VerdeanCentral AfricanChadianChileanChineseColombianComoranCongoleseCosta RicanCroatianCubanCypriotCzechDanishDjiboutiDominicanDutchEast TimoreseEcuadoreanEgyptianEmirianEquatorial GuineanEritreanEstonianEthiopianFijianFilipinoFinnishFrenchGaboneseGambianGeorgianGermanGhanaianGreekGrenadianGuatemalanGuinea-BissauanGuineanGuyaneseHaitianHerzegovinianHonduranHungarianI-KiribatiIcelanderIndianIndonesianIranianIraqiIrishIsraeliItalianIvorianJamaicanJapaneseJordanianKazakhstaniKenyanKittian and NevisianKuwaitiKyrgyzLaotianLatvianLebaneseLiberianLibyanLiechtensteinerLithuanianLuxembourgerMacedonianMalagasyMalawianMalaysianMaldivianMalianMalteseMarshalleseMauritanianMauritianMexicanMicronesianMoldovanMonacanMongolianMoroccanMosothoMotswanaMozambicanNamibianNauruanNepaleseNew ZealanderNi-VanuatuNicaraguanNigerianNigerienNorth KoreanNorthern IrishNorwegianOmaniPakistaniPalauanPalestinianPanamanianPapua New GuineanParaguayanPeruvianPolishPortugueseQatariRomanianRussianRwandanSaint LucianSalvadoranSamoanSan MarineseSao TomeanSaudiScottishSenegaleseSerbianSeychelloisSierra LeoneanSingaporeanSlovakianSlovenianSolomon IslanderSomaliSouth AfricanSouth KoreanSpanishSri LankanSudaneseSurinamerSwaziSwedishSwissSyrianTaiwaneseTajikTanzanianThaiTogoleseTonganTrinidadian or TobagonianTunisianTurkishTuvaluanUgandanUkrainianUruguayanUzbekistaniVenezuelanVietnameseWelshYemeniteZambianZimbabweanE-mail *EmailConfirm EmailPhone Number *City *Choose cityRamallah/Al-BirehHebronJerusalemBethlehemJerichoJeninNablusQalqilyaTubasTulkaremGazaSalfitOtherWhat is your educational level *High School DiplomaVocational trainingDiplomaBachelor's degreeMaster's degreeOther Are you currently: *Employed Unemployed Student Other Where are you employed in ? *IT SectorGovernmental Sector Private Sectorother What is your Job title? *Where do you work? (Job Place) *University Name *Major (Field of study at University) *How many credit hours left for you till graduation *When you will graduate from University? *Expected year to graduate202120222023202420252026202720282029OtherExplain what do you mean by Other *How much coding experience do you have? *Less than 1 month1-6 months6-12 months1-2 yearsMore than 2 yearsHow did you hear about the youth coding program ? *Through a friendThrough an AXSOS employeeFrom a Television AdFrom Social Media Through an Email I received Through my school/University OtherBriefly describe what your plans are after graduating from this program *In order to get a better idea of your suitability for the boot-camp, please tell us about how you see yourself utilizing your qualification-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Video Application (Optional) The video application helps us get a better first impression of you than the traditional form provides and also speeds up the admission process, This means if you submitted us a video that is no more than 3 min answering the bellow questions this would give you the opportunity to pass the personal interview step which is the 3rd step in our admission process. The Video application should Answer the following Questions: 1. Tell us more about yourself? 2. Why do you want to join AXSOS Academy? 3. What is your expectations out of this program? Make sure to upload the video to YouTube, DropBox, Vemo or any platform and share the link with us bellow. Note: We might ask you for additional Phone interview if we want to know more about you 🙂 Video Application URLAgreement & Legal NotesI agree that AXSOS Academy may use the video for the admission process.I declare that all information provided is correct and true. I understand that any inaccurate information will be the basis for refusal of this application.I agree & confirm that if I got accepted I will be committed to the program and its intensity, (the program will take place Online, 12 -14 hour per day, 6 days a week for 4 months)NameSubmit