K.O.B.E Application

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Twitter

Instagram

Snapchat

Facebook

Shirt Size(Required)

Are you currently accepted into Southern Crescent Technical College?(Required)

Yes

Are you currently registered for classes at Southern Crescent Technical College?(Required)

Yes

What is your major?(Required)

Career Goal(Required)

Interests/Hobbies(Required)

Do you currently work Full-time / Part-time?(Required)

Full-Time

Part-Time

Neither

How many hours a week do you work?(Required)

Why would you like to be a part of the Keen On Being Excellent Program at Southern Crescent Technical College?(Required)