Roaring Riptide - FRC Team 4118 - #FIRSTwithAT - Connections Portal
If you’re interested in locating an Assistive Technology (AT) maker near you, or want to request a specific AT project, please complete our #FIRSTwithAT Google Form.
Within 24-48 hours of form submission, a team member will contact you to obtain additional information or to confirm your request. If you don't hear from us within 48 hours,  please send a follow up email to Leigh Anne Brewster at labrewster@pky.ufl.edu
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Your Name *
Best Contact Phone Number *
Your Mailing Address  *
Email Address *
What is your occupation? *
How did you find out about our #FIRSTwithAT Initiative? *
Are you requesting an adapted toy and/or switch? If so, list the name(s) of the toy(s) and types of switches requested here (we offer a larger button style switch and a small finger sized raindrop switch).

If you aren't needing an adapted toy, please put N/A and move to the next question. *
Please provide a brief description of the challenge(s) that you believe we may be able to help address and if you know exactly which AT item you'd like to request, please share that here too! *
What are the criteria and constraints (or limitations) that we should take into account when designing your assistive technology item? *
What is your anticipated or expected timeframe for when you need this completed? (ex: I can't live day-to-day without it, It would be great to have ASAP, I can wait 3-4 weeks or design at your convenience.) *
Do you have additional questions or concerns that you would like to speak with us about after we receive your request?
Any additional notes or specifics you'd like to share?
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