Contact Us Step 1 of 3 33% Name(Required) First Last Phone(Required)What's your primary phone number?Email(Required) Your primary email.Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Preferred Enrollment Term(Required)September 11, 2023October 9, 2023November 13, 2023December 4, 2023January 15, 2024February 12, 2024March 11, 2024April 15, 2024May 13, 2024What would be your preferred enrollment term?Birthday(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920What is your birthday? Educational Attainment(Required)High SchoolAssociate DegreeBachelor's DegreeMaster's degreeProfessional degreeDoctoral degreeSome CollegeOtherTell us about your prior education (what schools you have attended, degrees you have achieved?Reason For Applying(Required) What is your inspiration for applying to Automation Workz Institute?Gender(Required) Male Female Prefer Not to Answer What is your gender?Veteran(Required) Yes No Are you a veteran?Ethnicity(Required) African American Asian American Caucasian American Hispanic American What is your ethnic identity?Certification Interest(Required)AI & Data AnalyticsCybersecurity OpsIoT Tech SupportNetwork TechnicianTech Project ManagementOur courses are broken into stackable progressively rigorous series where each series prepares one to secure an IT certification. Are you interested in?Programming Experience(Required)No experienceBeginning learnerIntermediate learnerAdvancedProfessionalWhich of the following best describes your programming experience? Current Employer Tuition Assistance(Required)Please enter a number from 0 to 100000.How much Tuition Plan Assistance and/or Tuition reimbursement does your employer provide?Workshop Scheduling(Required)Tuesday, 7 PM EST - VirtualTuesday, 12 PM EST - VirtualAdmissions Sampler Workshop is required to enroll. We meet on Tuesdays via Zoom, 12noon and 7:00 PM Work Force Development Need?(Required) Yes No Do You Need Workforce Development Funding?How'd You Find Us?(Required) Jumpstart Detroit At Work Headstart DPSCD Tik Tok FB/Twitter Google Youtube Billboard Radio/TV Show Referral LinkedIn Other How did you find Automation Workz Institute?Consent(Required) I agree to the privacy policy and privde consent to receive email and/or text messages from Automation Workz Institute, Inc. Δ
