FLL Explore FIRST Washington Registration 2022-2023

All teams are required to fill out the FIRST Washington team registration form in order to participate. This is to help us better track the demographic and other information about our teams. FIRST Washington needs this information to apply for grants that we can pass along to you as well as to report back to donors for funds allocated. All teams participating with FIRST Washington will need to fill this out as well as the event registration survey (coming out later in the year) to be placed in an event.

Team Information

Provide us with some basic information about your team.

Program*

What is the team number assigned by FIRST for this team. If you are a new team, enter the temporary team number from FIRST or 0

If your team has a name, nickname, or other alias that it is known by, please enter it here. Otherwise, you can leave this blank.

First name of contact associated with this registration

Last name of contact associated with this registration

Enter an email address for this team. We communicate almost exclusively by email. Please use an email address that you will check regularly.

What is a phone number we can contact you if we have questions?

What school, club, organization, or other entity is this team associated with. If it is a home or neighborhood team, please enter 'Home'

Classify your team affliation*

Please help us classify your team affiliation against these most common responses.

What is the primary street address for this team

What is the city for the primary address for this team?

What is the state for the primary address for this team?

Select
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What is the 5 digit zip code for the primary address for this team?

Which County in your state is this team located in? Acceptable counties in WA, OR and AK only. Do not put in USA for country.

Registration Donation

There are many teams in Washington that are struggling to find the financial resources to compete this year. If you are willing to make a donation to cover registration for another team, please check the box below and let us know what you are willing to donate.

Team Demographics

This section requests information about your team demographics. The information will be used to provide the supporters of FIRST Washington with specific details on their impact. FIRST Washington recognizes that many teams are still forming and recruiting members. If you are a veteran team, please use last year’s team demographic numbers. If you are a rookie (new) team, please use numbers that you anticipate. Please answer honestly.

What percentage of your school's students are on free and reduced lunch. If this doesn't apply to your team, please enter 0. Do not include the % symbol.

How many male students participate on your team? If none, put in a zero.

How many female students participate on your team? If none, put in a zero.

If you have students who do not identify with a specific gender, please indicate a count of those students here. If none, put in a zero.

If none, put in a zero.

If none, put in a zero.

If none, put in a zero.

If none, put in a zero.

If none, put in a zero.

If none, put in a zero.

How many of your students have one or more parents who are in the military? If none, put in a zero.

Lowest school grade for participation on your team*

For example, if you are an elementary team allowing 4th graders, please enter 4 for 4th grade.

Highest school grade for participation on your team*

For example, if you are an elementary team allowing 4th and 5th graders, please enter 5 for 5th grade.

Team Mentor Demographics

Please help answer some questions about volunteer mentors and educators. We consider any adult volunteer or parent volunteer working with your team to be a mentor. There will be a distinction between educators / staff hours and mentor hours. We fully understand that many of the educator hours are actually unpaid volunteer hours. Our use of this information takes that into account. Thank you for your efforts.

How many adults on your team are considered educators, school staff, or paid staff?

How many total hours did all of the educator and staff expend on behalf of your team. Include time with the students, planning time, and waking hours during travel.

How many individual mentors (exclude those in the educator/staff number) work with your team in a significant capacity. Significant capacity means meeting regularly or perhaps doing an important function for the team. Interacting with the team, providing direct logistics support, or working with students to direct part of the project.

For each of your mentors, estimate the number of hours they worked on behalf of your team. Include time with the students, planning time, and waking hours during travel. We are asking for the aggregated number of hours. If one mentor contributed 100 hours, and two mentors contributed 200 hours, then we would expect to see 500 hours reported.

If none, put in a zero.

If none, put in a zero.

If none, put in a zero.

If none, put in a zero.

If none, put in a zero.

If none, put in a zero.

If none, put in a zero.

If none, put in a zero.

If none, put in a zero.

Does the Coach/Mentor for this team receive a stipend from the school or sponsoring organization?*

If yes, please provide the amount per year in the field below.

If you answered yes above please provide the annual stipend amount paid to the Coach/Mentor for this team. If no stipend is paid, put 0 in this field.

List of companies that your mentors are affiliated with

Please select all the names of the companies that your mentors are affiliated with.

Outreach

Please let us know any outreach your team hosts or participates in.

What Outreach activities has your team participated in for this past year.

I understand the importance of this information and I have done my best to provide complete and accurate information.

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