2016 Bedford Express Application
Please complete this form if you are a Bedford High School Student interested in being on the 2015-2016 Bedford High School Robotics team.
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First Name *
Please write your nickname, if applicable, instead of your full name.  
Last Name *
Class next fall *
Cell Phone Number *
Please type NA if you do not have your own number.
Email address *
Please type careful as this is our primary means of communication.
First and Last name of a parent/guardian *
Cellphone number of above parent/guardian *
Email address of parent/guardian *
Please type careful as this is our primary means of communication.
First and Last name of a second parent/guardian *
Type NA if not applicable.
Cell phone number of second parent/guardian
Email address of second parent/guardian *
Please type careful as this is our primary means of communication.
Current Cummulative G.P.A. *
On a scale of 1 - 10, how important is it for you to earn (or to have earned) a varsity letter? *
Not important at all.
Very Important
On a scale of 1 - 10, how interested are you in becoming an engineer? *
Not interested
Very Interested
On a scale of 1 - 10, how interested are you in pursuing a STEM degree? *
Science, Technology, Engineering or Math
Not interested
Very Interested
Please select all that you personally are interested in doing next year. *
Required
Please select your top 2 build interests. *
Don't be afraid to check something you know nothing about.  We will train you, if you have the interest!
Required
Please select your top 2 culture interests *
Required
Are you a returning team member, or is this your first year? *
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