Name and Address

First/Given Name

Last/Family Name

Suffix

Nickname

Gender

Birthdate (mm/dd/yyyy)

Verify Email

Street Address

City

State or Province

Zip/Postal Code

Mailing Country

Home Phone

If your number includes a 3 digit Area Code and 7 digit number (U.S., Canada, etc.), include only the 10 digits
[e.g. 2125551212];
otherwise, include your Country Code followed by your full number as appropriate in your home country
[e.g. +(##)#########].

Mobile Phone

I agree to receive text messages sent to my mobile phone. (Message and data rates may apply.)

Citizenship

Please select your citizenship status. If you select "Other", then select your primary and secondary Non-U.S.countries of citizenship. If you select "Dual", one country of citizenship is assumed to be U.S., please indicate the dual country of citizenship.

Primary Country

Secondary Country

Dual Country

FIRST Robotics Information

Lead Mentor or Head Coach Information

First Name

Last Name

Email Address

Team Number

Team Name

FIRST Program

Year(s) of participation

ACE Mentor Information

Lead Mentor or Team Leader Information

First Name

Last Name

Email Address

ACE Affiliate or Chapter Name

ACE Chapter Location (City and State)

Year(s) of participation in ACE

Project Lead The Way Information

PLTW Teacher

First Name

Last Name

Email Address

List the PLTW courses you have taken during high school.

Program Information

College of Interest

Anticipated Major

Additional College of Interest

Additional Anticipated Major

Anticipated Start Term

Anticipated Start Year

Student Type

What school do you currently attend?
Choose Unknown School if no match.

If you chose UNKNOWN as your school, enter
your school name and its location (city/state)

Source