register for summer school It is recommended that you complete this form on a computer instead of a phone. Before you begin, please take a few minutes to create an avatar of yourself from this website, or if you already have an illustrated representation of yourself, have that handy. Name * First name* Last * Last name* Suburb * Where do you live?* Identity number * Your 13-digit ID number on your birth certificate or in your ID book* Email * Your email address* Contact number * Your cellphone number* Upload your avatar * Uploading Files. Please Wait. Drop a file here or click to upload Choose File Maximum upload size: 33.55MB Create an avatar of yourself from faceyourmanga.com, or use your own if you already have an illustrated representation of yourself. This will be your visual identity across the Summer School website. I would like to pursue a career in: * Android app dev API development Helpdesk/technical support iPhone/iPad app dev UI Design Web design Web development Windows app dev Tizen Bots Wordpress I know these programming languages: .NET C# C / C++ HTML5 Java Objective-C PHP Ruby Other I am currently a: * Learner in secondary school Student at a tertiary institution Other Tell us more about your current status: * I am in grade: * I am studying towards the following qualification: * at the following school: * at the following tertiary institution: * I graduate at the end of: * 2017 2018 Other I am active on the following social networks: Facebook Foursquare Google+ Instagram Linkedin Pinterest Twitter Other and here are links to my profiles: I would like to attend Summer School because: * I am proudest of the following achievement: * I am available from: * to * Here is more information about my availability (optional): My equipment: I have a laptop and will be able to bring it to Summer School I do not have a laptop to use at Summer School Name of next of kin: Your parent or emergency contact person Direct phone number of next of kin: Preferably a cellphone number How did you hear about Summer School? A classmate or friend Someone from immedia visited my educational institution Social media Other Someone I know works at immedia