The Application Review Committee is now reviewing final applications for the upcoming 2019-2020 season! The current application window closes on June 30th. Space is limited, so apply now!

APPLICATION FORM

To Apply:

  1. Read and agree to meet the student requirements

  2. Read and understand the Program Details before deciding which program team(s) you want to sign up for the 2019-2020 Season

  3. Complete the Student Application form below. Make sure to answer all of the questions.

  4. Your application will be reviewed by the Membership Committee. Our goal is to make all decisions during the month of June

  5. Accepted students must sign the Student Contract, Code of Conduct, and Liability Waiver, and complete the 501c3 Donor Pledge form

Contact us at info@placerrobotics.com if you have any questions.

Student Information
Name *
Name
Birthday *
Birthday
Cell Phone *
Cell Phone
Home Phone *
Home Phone
Address *
Address
Student Academic Information
Accepted applicants must show a Membership Committee member a copy of their most recent transcript to verify GPA. PART does not need to retain a copy of the transcript.
Unweighted
Unweighted
STEM Coursework
Student Interest and Experience
Which team(s) do you want to apply for in 2019-2020? *
Other
Previous Robotics Experience
Please describe your past experience
Which of the following skills are your strengths? *
Which of the following skills would you like to learn? *
What areas do you want to contribute to PART beyond your individual role on a project team?
Parent / Guardian 1 Information
Name *
Name
Cell Phone *
Cell Phone
Home Phone *
Home Phone
Address *
Address
(Note: employer is not required, but helpful in identifying parent mentors or corporate sponsors)
Volunteering
PART needs adult volunteers to manage a successful program. Please identify the areas you would be willing to help with and add details in the comments field.
Parent / Guardian 2 Information
This section is not required, but if you have a second parent or guardian we request you answer this section.
Name
Name
Cell Phone
Cell Phone
Home Phone
Home Phone
Address
Address
Volunteering
PART needs adult volunteers to manage a successful program. Please identify the areas you would be willing to help with and add details in the comments field.
(Note: employer is not required, but helpful in identifying parent mentors or corporate sponsors)
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
I have read the requirements page and understand that each application will be reviewed for consideration. Accepted applications must complete the Student Contract, Code of Conduct, and Liability Waiver. *
I have read and understand the additional details listed in the Program Details page. I agree to sign up for only the program team(s) that I can fully commit to. I further understand that If I do not actively engage in my program team, I will be removed from that team and not allowed to attend Travel Events. Any travel deposits will not be refunded. *