KYEA | Student Application

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Student's Phone No.* This field is required.
Area Code
Phone Number
4
Gender* This field is required.
Please Select
Please Select
Male
Female
Prefer not to say
5
City of Residence* This field is required.
6
School Name* This field is required.
7
Current Grade in School* This field is required.
Please Select
Please Select
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other
8
Parent Name* This field is required.
9
What is your parent/guardian mobile number?* This field is required.
Area Code
Phone Number
10
Why are you interested in Kingsway Young Entrepreneurs' Academy (KYEA)?* This field is required.
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Ok
Ok
11
Are there any specific areas of business or technology you're curious about?* This field is required.
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Ok
Ok
12
If you could start any business or organization to solve a global challenge, what would it be and why?* This field is required.
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Ok
13
Why do you believe you're a good fit for KYEA?* This field is required.
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Ok
14
How did you hear about this program?* This field is required.
15
Disability Accommodation (y/n)We would love to work with you and your family to ensure that you receive the accommodations needed to have a fulfilling experience in the program.
YESNO
16
Financial Aid RequiredKYEA gives financial aid to students whose families make less than $50,000 per year (US applicants). By saying yes, you will enter into a competitive pool of applications for the financial aid scholarships.
YESNO
17
Additional Notes & Special Request
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