Construction Awareness Day

*Please note: Camp limited to 100 students.

Name Name * First Last
Email *
Phone Phone * - ### - ### ####
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Program of Interest (First Choice): *
Program of Interest (Second Choice):
Program of Interest (Third Choice):
High School: *
High School Graduation Year: *
High school counselor or teacher contact name: High school counselor or teacher contact name: * First Last
High school counselor or teacher contact phone number: High school counselor or teacher contact phone number: * - ### - ### ####
High school counselor or teacher contact email address: *
How did you hear about Western Dakota Tech? *

How did you hear about Western Dakota Tech? Alumni Billboard Business Visit Career Camp College Fair Friend/Family High School Counselor High School Visit Magazine Newspaper Online Open House Radio Television Western Dakota Tech Employee Western Dakota Tech Student Western Dakota Tech website Other Other
Waiver of Liability

If you are a Rapid City Area School District student: Please print, sign and email this form to Wanda.Roe@wdt.edu prior to the the event in order to participate in hands-on activity.Click Here
If you are from a surrounding area high school: Please print, sign, and email this form to Wanda.Roe@wdt.edu prior to the event in order to participate in hands-on activity.
Click Here
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