Southland Robotics Application
2019-2020 Season Tower Takeover
Applicant Name
*
First Name
Last Name
Student E-mail (if applicable)
Parent/Guardian E-mail
*
example@example.com
Parent/Guardian 2 E-mail
example@example.com
Parent/Guardian Phone Number
*
-
Area Code
Phone Number
Parent/Guardian 2 Phone Number
-
Area Code
Phone Number
Grade in Fall '19
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Teacher References
*
ex. Mr. Smith, Mrs. Jones
Personal Characteristics and Self Inventory
*
Rows
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I am really good at science.
1
2
3
4
5
I can work really hard and for a long period of time without having behavior interventions.
6
7
8
9
10
I can follow directions
11
12
13
14
15
I seek help when I need it
16
17
18
19
20
I work well with others
21
22
23
24
25
I am an organized person
26
27
28
29
30
I enjoy figuring out computers and technology
31
32
33
34
35
I like working with my hands
36
37
38
39
40
I enjoy talking to new people
41
42
43
44
45
I enjoy taking and organizing pictures
46
47
48
49
50
I'm good at fixing things
51
52
53
54
55
I'm good at video games
56
57
58
59
60
I learn things quickly
61
62
63
64
65
I like figuring out difficult problems and questions
66
67
68
69
70
I enjoy researching new information
71
72
73
74
75
I believe winning requires hard work.
76
77
78
79
80
People think I'm a team player
81
82
83
84
85
During practices I will support my team by (choose two):
*
Designing the webpage and updating social media
Competing in the Online Challenges
Designing, building, and fixing the mechanics of the robot
Organizing the tools and materials
Keeping the Engineering Notebook up to date
Programming the Robot
Organizing 3 Ring Binder and bulletin boards (publicity)
Other
During Competitions I will support the team by (choose two or three):
*
Scouting for data and networking with other teams
Making sure the batteries are charged and ready for upcoming rounds
Making quick fixes and updates to the mechanics of the robot
Organizing the tools, materials, and pit area
Programming and Re-programming the robot
Watching the clock and schedules so we are always on time to competitions
Driving the robot
Forming a strategy with our alliance for an upcoming round (offensive and defensive)
Other
Agreement Criteria
*
Rows
Yes
I will responsibly schedule my time in order to fulfill robotics team obligations.
86
I will quickly handle any scheduling conflicts that come up by COMMUNICATING TO MY COACHES BEFOREHAND.
87
I accept that this is a one year commitment.
88
I am aware that this form does not mean that I am selected for Robotics team. I know that this is an application form and Mrs. Mortenson will select the team members from among the applicants and my ability to get work in on time, to have appropriate attendance at school, and to demonstrate proper behaviors in a classroom environment are all factors that will affect my selection
89
I accept that the schedule may be changed. More meetings may be held as competitions are approaching
90
I accept that although robotics clubs are not currently bound by the rules of the MSHSL regarding academics and behavior; those rules which govern Minnesota student athletics will also apply to members of the Southland VEX robotics teams.
91
I understand that there are requirements in the summer and will make every attempt to participate in at least one of the activities (practices required) considered part of the 2019-20 season (parades, boot camp and/or competition camp held at Southland, summer practices if scheduled).
Boot Camp (for new applicants)-Dates May 28-30; 3:15 -5 pm
Dairy Days Parade-Adams (Sunday June 9th)
Competition Camp- July 29 -Aug. 2 ( approx. $300)
92
I understand that we have equipment and tools in the BOT Cave that are both dangerous and expensive, so I will demonstrate appropriate behavior to care for myself, my teammates and the robotics equipment and if I violate this rule, I may be let go from the team.
93
I accept that if I miss two robotics meetings without making arrangements to fulfill my obligations by communicating to the coaches before hand, I will become a probationary member. If I continue to miss meetings without arrangements, probationary members will be cut from the team. Due to the high number of participants, this rule will be strongly enforced as we need dedicated participants.
94
If I missed a substantial amount of practices or was ineligible for a portion of time in the last season, I understand I will be a probationary robotics member at the beginning of this next season (notified in acceptance letter).
95
Submit
Should be Empty: