Tecan Scholarship Program

First and Last Name

Tecan Employee Sponsor Name

What grade are you in?

What is the name of your School?

How old are you?

What is your email address?

Parent's email if under 13 years of age

Address

Street, City, State, Zip

Country

Qualified Program Details

Please include dates of the program, cost/tuition, Registration, etc. If you are able to upload a flyer at the next question, that will suffice or a link to the program's website.

Please upload the following:

Photo of yourself
A flyer of your program, if applicable
Your video or essay submission

Drop your files here

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