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. Enter day, month, year. 
Example: 08/13/75

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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. These programs are offered at the Yadkin Center and Dobson campus:

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* 7. The following programs are not offered at the Yadkin Center, but they are offered on the Dobson campus. If you would like to learn more about any of these progams, please select them below:

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

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* 9. Enter today's date.

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