Southland MS/HS Robotics
Team Member Application
Applicant Name
*
First Name
Last Name
Grade
*
In the 2018-2019 school year
Parent/Guardian Email
Email Address
Parent/Guardian Phone Number
-
Area Code
Phone Number
Teacher References
Please write the names of two teachers from this past school year (2017-2018) that Mrs. Mortenson may contact to ask about your talents, work ethic, and character.
Personal Characteristics Self Inventory
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Never
Sometimes
Usually
Always
I am really good in science.
I can work really hard and for a long period of time without having behavior interventions.
I can follow directions.
I seek help when I need it.
I work well with others.
I am an organized person.
I enjoy figuring out computers and technology.
I like working with my hands.
I listen to other people’s ideas.
I enjoy talking to new people.
I enjoy taking and organizing pictures.
I’m good at fixing things.
I’m good at video games.
I learn things quickly.
I like figuring out difficult problems and questions.
I enjoy researching new information.
I believe winning requires hard work.
People think I’m a team player.
During practices I will support the team by (choose two):
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Designing the webpage and updating social media
Competing in 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
Other
During competitions I will support the team by (choose two-three):
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Scouting for data and Networking with other teams
Making sure that batteries are charged and ready for the upcoming rounds.
Making quick fixes and updates to the mechanics of the robot
Organizing the tools and materials
Speaking with competitions judges about robot.
Programming and Re-programming the robot
Watching the clock and schedule so we are always on time to competitions
Driving the robot
Forming a strategy with our alliance partner for an upcoming round.
Other
Agreement Critera
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Yes
I will responsibly schedule my time in order to fulfill robotics team obligations.
I will quickly handle any scheduling conflicts that come up by communicating with the advisors beforehand.
I accept that if I miss two robotics meetings without making arrangements to fulfill my obligations by communicating with the advisors beforehand I will be cut from the team. Due to the high number of participants, this rule will be strongly enforced as we need dedicated participants.
I accept that this club is a one-year club.
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.
I accept that the schedule may be changed. More meetings may be held as competitions are approaching.
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.
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 2018-9 season (parades, boot camp and/or competition camp held at Southland, summer practices if scheduled).
Dairy Days Parade-Adams (Sunday June 10th)
Boot Camp-Dates TBD
Competition Camp- July 23-27 ($300)
I understand that we have equipment 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.
Student Signature
*
Parent Signature
*
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