Interest Form

* = required

*Name:

*Email:

Phone Number:

I prefer to be contacted by:

PhoneE-mail

*Country of Residence:

Occupation (student, retired, programmer, teacher, etc):

*Country Preference:
GhanaIndiaNepalKenyaNo Preference

Areas of Interest:

Additional comment or questions:

*I understand program fees start at $1,410 USD.

*I understand this is an immersive experience with rural accommodations.

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