Engineering A Dream 2019

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Welcome To Our Engineering a Dream Registration Form!

EVENT INFORMATION
Date: Saturday, April 13th, 2019
Time: 9:00am - 4:00pm (Lunch will be provided)
Location: College of Engineering, 1701 Platt Street, Manhattan, KS, 66502
Age: 6th, 7th, and 8th graders
Cost: $5.00 Registration Fee (scholarships available at the bottom of this form)

ABOUT THE WORKSHOP
Engineering a Dream seeks to expose middle school students to careers in science, technology, engineering, and mathematics through hands on engineering activities such as programming and construction. Attendees will be chaperoned at all times during their stay on campus by K-State undergraduate and graduate students who will serve as their mentors. If you have any questions please contact LaVerne Bitsie-Baldwin at 785.532.5949 or lbaldwin@ksu.edu.

CHECK-IN
Time: 9:00am - 9:30am
Where: New Engineering Atrium outside of Radina's Coffeehouse
What We'll Need From You:
- $5.00 Registration Fee (not required if scholarship is received)
- Completed Consent Form. These will be available at the check-in table or can be downloaded at http://bit.ly/formEAD

Student's Last Name *

Student's First Name *

School Name *

Current Grade *

Name of Parent or Guardian *

Email address of Parent or Guardian *

Phone number of Parent or Guardian (Cell Preferred) *

Home Address

Home Phone Number

Method of fee payment *

I will bring the $5.00 registration fee

I request a scholarship for my child to attend the event

Please let us know of any dietary or physical restrictions for your student.

Submit

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