Robotics Program - Student Application
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Email *
Student Name/Last Name *
Home Address *
Your grade level during the 2023-2024 School Year: *
Current Cumulative GPA (Cumulative and weighted) *
List all the AP and Honors classes you plan to take during the current school year *
The following information is required by the FIRST Organization *
Race/Ethnicity
Required
Father/Guardian #1 Name  and Last Name *
Father/Guardian - Email
Mother/Guardian #2 Name and Last Name *
Mother's Email
Robotics Program Job Interest (Some jobs allow for one student to hold more than one responsibility. This depends on the job and the student's capability) *
Must Choose 3 Alternatives
Required
Student's Skills *
Required
In a paragraph or two, describe what you expect to contribute to the robotics program and your expectations of the program. Include any prior experience with robotics, programming, building, tools, business setting, graphic design, art portfolio, that applies to the work being done in the robotics program. *
List all the extracurricular activities that you are/ planning to participate during the school year. This includes activities/clubs and/or jobs outside of school. Please include days and time of the specific activity *
List two adults other than family who will be able to give you a recommendation. Please list their email address and occupation *
T-Shirt Size *
Sweatshirt Size *
A copy of your responses will be emailed to the address you provided.
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