Application Form

High School Tech Bootcamp - Advancement Track (Intermediate)

Designed for learners aged 14-19 who already know basic HTML, CSS, or simple programming, this bootcamp pushes students into real development practices. They're not just learning tools - they're applying them to solve real problems, building smarter, cleaner code and understanding the logic behind modern websites while exploring AI practically, not magically.

Format: Full-time (Tues-Thur, 1PM-4PM)

Mode: In-person/Hybrid

Duration: 3 Weeks

Tuition: KES 20,000

Ages: 14-19 years (with some coding experience)

Please fill out the form below to apply. Complete all required fields accurately to ensure your application is processed efficiently. Parental consent required for applicants under 18.

Phase 1

Phase 2

Application Submitted Successfully!

Thank you for applying for the High School Tech Bootcamp - Advancement Track at NeXTra.

We have received your application and will review it within 2-3 business days.

What happens next:

1. You will receive a confirmation email at the address provided

2. Our admissions team will contact you for the next steps

3. Please check your email regularly, including spam folder

We appreciate your interest in joining NeXTra and look forward to potentially welcoming you to our learning community!

Personal Information & Background

Tell us about yourself and your technical background.

Full Legal Name *

Email Address *

Phone Number (WhatsApp-enabled) *

Date of Birth *

Current Age *

School/Institution *

Form/Grade *

Nationality *

Country of Residence *

Why are you interested in the Intermediate Track? *

What coding experience do you have? *

Have you completed any coding courses or projects? *

How did you hear about NeXTra?

Do you have access to a laptop/computer? *

Program Commitment & Documentation

Tell us about your availability and upload required documents.

Parent/Guardian Full Name *

Parent/Guardian Email *

Parent/Guardian Phone *

Preferred Learning Mode *

Government ID/Passport Number

Emergency Contact Name *

Emergency Contact Phone *

Relationship to Emergency Contact *

Upload Passport Photo (Optional)

Click to upload a recent passport-sized photo

Declaration & Consent

I confirm that all information provided is accurate and complete. I agree to the terms and conditions of the NeXTra program. I consent to the collection and processing of my personal data for admission purposes. Parent/Guardian: I give consent for my child to participate in this program.

Student Digital Signature (Type your full name) *

Parent/Guardian Digital Signature *

Date *

Additional Comments or Questions (from student or parent)