Team 5843 Member Application
Student First Name *
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Student Last Name *
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Student Email Address *
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Student Cell Phone Number *
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Parent First Name *
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Parent Last Name *
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Parent Email Address *
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Parent Cell Phone Number *
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What school do you currently attend? *
What year will you graduate high school? *
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Student T-shirt size *
Do you have any food allergies/intolerances, latex allergies, asthma, medications, or other medical issues the Mentors would need to be aware of? *
Participation on the team requires a significant time commitment from January through March. List other activities that may impact your involvement on the team.
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Why are you interested in the robotics team? What do you wish to achieve? (New students)
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List the experience or skills you possess? (New students)
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What Science Technology Engineering Mathematics (STEM) field you wish to pursue & why? (Returning Students)
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What skills have you acquired or learned in the previous year(s)? (Returning students)
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Did you achieve your goals from last year? If YES, what was it? If NO, what are you going to do differently? How could your Mentor(s) have helped? (Returning students)
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Anything else you would like to share with the Mentors?
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