To enter the scholarship drawing and register for the event, please answer all the questions below. Be sure to hit submit when you are finished.

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* 1. First Name

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* 2. Last Name

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* 3. Please provide your contact information.

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* 4. What is your date of birth?

Date

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* 5. If you are you a high school student, what is your current grade level?

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* 6. Which programs are you considering? Please select all that apply.

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* 7. How did you hear about the Engineering Technologies Open House? Please check all that apply.

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