Engineering Technologies Scholarship Registration - Dobson 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. OK Question Title * 1. First Name OK Question Title * 2. Last Name OK Question Title * 3. Please provide your contact information. Mailing Address * Address 2 City/Town * State/Province * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code * Email Address * Phone Number * OK Question Title * 4. What is your date of birth? Date / Time Date OK Question Title * 5. If you are you a high school student, what is your current grade level? 9th 10th 11th 12th I am not a high school student. OK Question Title * 6. Which programs are you considering? Please select all that apply. Air Conditioning, Heating & Refrigeration (HVAC) Autobody (Collision Repair & Refinishing) Automotive Carpentry Construction Electrical Systems Engineering Design Industrial Systems Machining Mechatronics Welding undecided OK Question Title * 7. How did you hear about the Engineering Technologies Open House? Please check all that apply. Word of mouth (family member, friend or teacher told me) Television advertisement Social Media (Facebook, Instagram, YouTube, Twitter, LinkedIn) Advertisement on my phone or computer Email Flyer or brochure Newspaper Radio OK SUBMIT RESPONSE