PepsiCo Foundation Workforce Student Application

PepsiCo Uplift Web Application

First *

Last *

Date of Birth *

Gender *

Male

Female

Address

Country

City

State

Zip code

Phone

Email *

Ethnicity *

A variety of government agencies require that institutions of higher education report student enrollment by ethic status. The information requested in this section will assist with meeting this requirement. Please check the appropriate box.

American Indian or Alaskan Native

Asian

Black

Native Hawaiian or Other Pacific Islander

White

Are you Hispanic/Latino? *

Yes

Academic History

Did you graduate from high school?

Yes

Did you receive a General Education Development (GED) Certificate/Diploma?

Yes

Have you ever been dismissed from college for academic reasons?

Yes

Have you ever been dismissed from college for disciplinary reasons?

Yes

If accepted as a PepsiCo Uplift Scholar which of the follow are you interested in? *

IBM Skills Academy Data Science Practitioner (may need a pre-requisite course) Link to program

IBM Skills Academy Artificial Intelligence Practitioner Link to program

CompTIA A+ Link to program

Introduction to Python Programming Link to program

Introduction to R Programming and Data Science Link to program

Red Hat Linux System Administration I Link to program

Undecided

Why do you want to do take this certification?

Are you:

Currently Unemployed

Currently Underemployed

Seeking to Change Careers

Seeking to Advance in Current Career

Signature

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Please Read

Admission into the PepsiCo IT Scholars program is based on availability of space and qualification of applicant. Westchester Community College adheres to the policy that no person on the basis of race, color, creed, national origin, age, sexual orientation, or handicap is excluded from, or subject to, discrimination in any program or activity. Information collected on this application (Section 355 (2) (i) Education Law) will be used to evaluate your request for admission. Failure to provide information could prevent your application from being processed. Information will be maintained in the Workforce Development and Community Education Office.

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