Build Dakota Scholarship Interest Application

Name Name * First Last
High School *
Year you received, or expect to receive, your high school diploma or GED? *
Phone Phone * - ### - ### ####
Email *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Program(s) of Interest *

Program(s) of Interest Architectural and Engineering Technology Automotive Technology Computer Science Construction Technology Criminal Justice - Law Enforcement Dental Assisting Diesel Technology Diesel Technology Industrial Maintenance Drafting and Machining Technology Electrical Trades Environmental Engineering HVAC/R Technology Medical Laboratory Technician Paramedic Plumbing Technology Practical Nursing Precision Machining Registered Nursing Surgical Technology Welding and Fabrication
By submitting this application, I am authorizing the WDT Foundation to provide further information about the Build Dakota Scholarship for my program of interest and to notify the WDT Admissions department of that interest.