2016/2017 Student Interest Survey
Student name
Your answer
What is your cell phone number for competition communication?
Your answer
What type of cell phone do you have? (For match scouting)
What is your expected graduation year?
Your answer
What town do you live in?
Your answer
What is the name of the middle school you attended?
Your answer
Did you middle school have a robotics program?
Your answer
If yes, what type of program?
Your answer
If no, would you be interested in getting a robotics program started at that school?
Your answer
List any programming experience you have. (Java, EV3, LabVIEW, Swift)
Your answer
List any programming, engineering or robotics classes or summer camps you have taken.
Your answer
Would you be interesting in programming this year? If so, what would you like to work on?
Are you a Boy Scout?
If yes, do you have the robotics merit badge?
Have you ever worked in a machine shop?
Do you dance?
Are you artistic? Do you draw?
Do you play sports?
If so, what sport(s)?
Your answer
What is your motto?
Your answer
List any cool talents.
Your answer
Do you play an instrument?
If so, what instrument?
Your answer
Other comments.
Your answer
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