FIRST Tech Challenge Oregon Team Data for Velocity Vortex Qualifying Tournaments

FIRST Tech Challenge Oregon Coaches: This is a supplemental and REQUIRED form to the League and Non-League Registration process. Teams have already been assigned to tournaments. We are asking for DIFFERENT INFORMATION than what we collected in Fall 2016. Please complete this brief questionnaire asking information about your team for tournament program and ordering of commemorative Velocity Vortex pins and grant reporting . This is a requirement to participate in any Qualifying Tournament in January. 1) PLEASE COMPLETE ONE FORM PER TEAM. Do not combine data for multiple teams and submit one form. 2) Please submit demographic information and a few other questions that I need for grant reports, ordering pins. 3) Please submit some information for your upcoming Qualifying Tournaments for the printed programs/scoring system. Please fill out all information. Questions marked with an asterisk (*) are mandatory. The FIRST Tech Challenge Oregon Committee will use this information to keep in touch with you and to compile statistical information. Although Survey Monkey allows you to "go back" to previous pages, we don't suggest it. If you need to start over, close your browser and re-enter the team you were registering. If you have questions send a message to [email protected] or call 503-486-7622

FILL OUT ONE FORM PER TEAM

* 1. Please enter the FTC team number assigned by FIRST to your team for the Fall 2016 / Winter 2017 season.

* 2. Please enter your team name, as you would like to see it printed in a program. This is the final chance you have to submit a team name for any tournament programs/scoring system entry.

* 3. Please enter the CITY where your team holds its meetings as you wish to see in in the program. Do not include State. Example: enter Bly not Bly, Oregon

* 4. Please enter your team school or other affiliation, if any, as you would like to see it printed in a program/scoring system.

FIRST Tech Challenge Oregon Team Data for Velocity Vortex Qualifying Tournaments

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5. Who is completing this form?

6. Email address of person completing this form?

* 7. Have you previously served as the coach or mentor of aFIRST LEGO League team? Yes No

* 8. Estimate how many of your team members previously participated on aFIRST LEGO League Team?

FIRST Tech Challenge Oregon Team Data for Velocity Vortex Qualifying Tournaments

Please complete the following demographic questions about your team. Your team must not exceed 15 students. This is a new rule for 2015-2016 season. # of Team members are used for ordering award pins.

* 9. Number of Boys

* 10. Number of Girls

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* 11. How many students are there in each of the grades? Enter "0" if none. Not to exceed 15 students in total. # of Seniors # of Juniors # of Sophomores # of Freshman # of 8th graders # of 7th graders (# of 6th graders)

* 12. For teams with graduating Seniors, how many have plans to attend 4 year or 2 year college or enter the military? (for teams with no seniors, select no seniors on team)

* 13. How many of the graduating Seniors are considering majoring in engineering, science, math or technology (STEM) in college or training in the military?

* 14. Does your team plan to attend or have attended an FTC Event outside of Oregon during the VELOCITY VORTEX season? No, Our team will compete ONLY in Oregon. Yes, Idaho FTC Championship (Idaho may or may not have room for out of state teams this season) Yes, Another State's FTC Qualifying Tournaments/Championship (specify in other which state) Other State

FIRST Tech Challenge Oregon Team Data for Velocity Vortex Qualifying Tournaments

Team Ethnicity. We will use this information for grant reports requiring stats on ethnic diversity, please give your best estimate. In a grant report, this information would be expressed in aggregate, as a group with no individual data determinable.

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* 15. Number of Black/African Americans team members

* 16. Number of Asian team members

* 17. Number of White team members

* 18. Number of Hispanic or Latino team members

* 19. Number of American Indian/Alaskan Native team members

* 20. Number of Native Hawaiian or Pacific Islander team members

* 21. Number of students of mixed race

FIRST Tech Challenge Oregon Team Data for Velocity Vortex Qualifying Tournaments

To complete your registration, please -- click the final submit arrow. Thank you for participating in the FIRST Tech Challenge Oregon season and for completing this Information questionnaire for your team. Good luck to your team! CLICK THE FINAL SUBMIT ARROW below to finalize your registration information!

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