Southeastern Community College


Kidtek U Application

* denotes required information.

Student/Child Information

* First Name:

* Middle Initial: enter 'X' if no middle initial

* Last Name:

* Grade completed as of June 2018:

* Birthdate:

* Social Security Number:

* Street:

* City:

* State:

* Zip:

* County:
-- OR --
Enter other county:

* School District:
-- OR --
Enter Other School District Name:

* Free/reduced meals eligible:

* Child or grandchild of a Southeastern Community College employee:
   If Yes, name of employee:

Parent/Guardian Information

* First Name:

* Last Name:

* Phone:  Please include area code, and enter only numeric digits. Example 3197522731

E-Mail Address:

Additional Information

* What topics/classes are you interested in?
-- OR --
Enter other topics/classes you are interested in:

What are the current circumstances that require consideration of a scholarship?

Disclaimer Statement

Scholarships are available through a number of full and partial funding sources. This is a joint application used for several sponsored scholarships. Therefore, some questions have been included in the application to satisfy specific donor preferences. Applications will be considered according to sponsored scholarship criteria. All Applications are date stamped when submitted.

Classes are filled on a first-come, first-paid basis. Should your child receive a scholarship after full payment has been received, a reimbursement in the amount of the scholarship will be given. First review of 2018 Applications will be April 19, 2018. Applications received after the deadline will be reviewed every two weeks as long as funds are available. Consideration of applications is subject to availability of scholarship funds.

For questions please contact Kelly Prickett at 319-208-5375.


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