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Scholarship Request for Build a Robot K12 Course
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* Indicates required question
Parent Name
*
Your answer
Parent Email
*
Your answer
Parent Phone Number
*
Your answer
Parent Occupation
*
Your answer
Student Name
*
Your answer
Student Birthdate
*
MM
/
DD
/
YYYY
Student's School
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Your answer
What subject is your kid interested in? (Check all that apply)
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Coding
Robotics
Creativity and Design
Other:
Required
Is there a specific course your kid is interested in? If so, please specify.
*
Your answer
What experience does your kid have with coding and robotics?
*
Your answer
What is your financial need?
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I can pay for 75% of the course
I can pay for 50% of the course
I can pay for 25% of the course
I cannot pay and need a full scholarship
How did you hear about us?
*
Your answer
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