2019/20 RoboChargers Team Application
This form is required to be filled out by all returning or aspiring team members.
Email *
Student Information
Legal First Name *
Preferred Name
Tell us what name you prefer to be called by if it isn't the same as your legal first name.
Last Name *
Student ID # *
Date of Birth *
MM
/
DD
/
YYYY
Home Address (ex: 1234 Main St., Dallas, TX, 75123) *
Grade Level for 2019/20 School Year *
Are you enrolled in the Global Collegiate H-TECH program? *
What gender do you identify as? *
Student Cell Phone # *
Student E-mail Address *
If you have a personal gmail address which you use, please list it here.
Student T-shirt Size (adult) *
What Elementary School Did you Attend?
Clear selection
Middle School did you Attend?
Clear selection
Student Ethnicity
Clear selection
Student Dietary Restrictions or Medical Conditions *
Please describe any dietary or medical information that we should take into consideration or be aware of. Responses to this question are confidential. Enter 'none' if you have nothing to report.
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