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Community Development > KP Scholars Program > Apply for KP Scholar Program

Apply for KP Scholar Program

Applicant Information:

Applicant’s First Name
Applicant’s Last Name
Gender	M F
Birth Date
Address
City
State
Zip
Home Phone
Student Cell Phone
Student E-mail

Parent Information:

Father First Name			Mother First Name
Father Last Name			Mother Last Name
Address			Address
City			City
State			State
Zip			Zip
Home Phone			Home Phone
Father Work Phone			Mother Work Phone
Father Cell Phone			Mother Cell Phone
Father E-mail			Mother E-mail

School information:

Present School
Student Grade
School Address
City
State
Zip
Guidance Counselor
Counselor E-mail
Counselor Phone
Counselor Fax
Phone

Please submit a short-essay (no more than 500 words) on why you are interested in participating in the Kinetic Potential Scholars Program. In particular, you should talk about:

Your long term career ambitions (what would you like to be when you grow up)?
How you feel the Kinetic Potential Scholars Program will help you achieve this goal?
Also, tell us about yourself, where you live, and what your life is like.

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