TechHOUNDS Application Form

First Name:

Last Name:

Grade:

Locker Number:

Approximate Locker Location:

GPA:

Race:

Gender:

Cell Phone Number:

Email Address:

Student ID Number:

Verify Email Address:

SRT Teacher:

Primary Residence:

Parent 1

Parent 2

Both

Other:

Counselor:

This will be your __ year on the team:

Are you involved in any extensive time commitments during 1st semster (i.e. Marching Band, Fall Sports)

Yes:

What divisions are you interested in joining?

Robot Operations

Construction

Electrical

Programming

CAD (Robot Ops)

Information Technology

Public Relations

Outreach

First Name:

Last Name:

Employment:

City:

ZIP Code:

Home Phone Number:

Cell Phone Number:

Work Phone Number:

Email Address:

Verify Email Address:

Would you like periodic email reports about the TechHOUNDS?

Yes

Would you be interested in becoming a mentor for the team?

Yes

First Name:

Last Name:

Employment:

City:

ZIP Code:

Home Phone Number:

Cell Phone Number:

Work Phone Number:

Email Address:

Verify Email Address:

Would you like periodic email reports about the TechHOUNDS?

Yes

Would you be interested in becoming a mentor for the team?

Yes

TechHOUNDS Application Form

Questions that must be addressed in the essay

Student Information

Parent Information

Parent 1

Parent 2