KT Pro Scholarship Form
The National Science Foundation (NSF) will be covering the cost for up to 15 students to attend an upcoming KT Pro Class - RoboQuest: From Classroom Bots to Industrial Arms. Class will run on Saturday's, October 11 & 18 from 9 am - Noon at the SCC Keokuk Campus. Please complete the brief application below to claim a scholarship. (For students in grades 8 - 11)
Student Name
*
First Name
Middle Name
Last Name
Grade Level (Current)
8th Grade
9th Grade
10th Grade
11th Grade
School District
Please Select
Burlington Community School District
Central Lee Community School District
Danville Community School District
Fort Madison Community School District
Keokuk Community School District
Mediapolis Community School District
Mount Pleasant Community School District
New London Community School District
Other
Parent Name
*
First Name
Middle Name
Last Name
Parent E-mail
example@example.com
Parent Number
Submit
Should be Empty: