DI application--Tosa East 2022-23
Sign in to Google to save your progress. Learn more
Email *
Student's first & last name *
Student's grade *
Student's date & year of birth *
MM
/
DD
/
YYYY
Student's email address *
Student's T-shirt size
Clear selection
Parent 1: first & last name *
Parent 1: email address *
Parent 1: preferred phone number *
Parent 2: first & last name
Parent 2: email address
Parent 2: preferred phone number
The next 6 questions will help determine which challenge the Tosa East teams solve. (To see short descriptions of all the challenges, go to  https://www.destinationimagination.org/challenge-experience/challenge-previews/. First, please indicate your level of interest in the Technical challenge, Piece by Piece. *
My #1 choice
Ugh! I really don't want to do this challenge!
Please indicate your level of interest in the Scientific challenge, Far-Fetched. *
My #1 choice
Ugh! I really don't want to do this challenge!
Please indicate your level of interest in the Fine Arts challenge, Flip the Script. *
My #1 choice
Ugh! I really don't want to do this challenge!
Please indicate your level of interest in the Improvisational challenge, Showdown. *
My #1 choice
Ugh! I really don't want to do this challenge!
Please indicate your level of interest in the Engineering challenge, Thrill Ride. *
My #1 choice
Ugh! I really don't want to do this challenge!
Please indicate your level of interest in the Service Learning challenge, High Stakes. *
My #1 choice
Ugh! I really don't want to do this challenge!
Please list any other students from East whom you want to be on a team with.
Are you available to attend the regional DI tournament on Saturday, March 11? *
If your team qualifies, are you available to attend the state DI tournament on Saturday, April 1, at UW-Green Bay? *
Do you understand that your placement on a team is contingent on finding enough adult team managers to accommodate all interested students? *
Is one of your parents interested in serving as a team manager or assistant team manager? *
Do you agree to pay the participation fee of $100 or to notify Anne Coulling, the DI coordinator, to request financial assistance? *
If you are placed on a team, will you consistently commit your time to DI? If academic and/or extracurricular commitments prevent you from attending one or more team meetings, will you notify your teammates and team manager and resume your commitment as soon as your schedule allows? *
Will you respect your team and your teammates and be a good team player, knowing that everyone's contributions are important and needed? Will you consistently put in the effort to help solve your team's challenge? *
Will you respect DI's rules about interference, meaning that you will not accept ideas or help in solving the challenge from anyone other than your teammates? Will you decline offers from anyone--including family members and friends--who offers to help your team or contribute to your solution in any way? *
Is there any other information you want to share about yourself or your DI application?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Wisconsin Destination Imagination. Report Abuse