Leadership Training Program Application for FIRST Mentors



● Supported Browsers for this application:  Internet Explorer, Firefox, Chrome
● Training program is open to FRC and FTC mentors who are teachers.
1)
Applicant Name:

First Name


Last Name


2)
Phone Number (where you can be reached during daytime in May/June):

Area Code


Number/Extension


3)
Email Address (where you can be reached in May/June):


4)
Are you a United States citizen?


5)
Do you reside in the contiguous United States?
(Transportation will not be provided outside of contiguous U.S.)



6)
Are you over 18 years of age?  (You must be 18 to enter the program)


7)
List any FRC and FTC team(s) you are affiliated with and describe your role on that team:

 

Team Number






Team Role





No. Years W/Team



8)
Where do you teach?

Name of Institution


Address


Address 2

City


State/Province


Zip/Postal Code


Country


9)
What grades do you teach?


10)
What subjects do you teach?


11)
The U.S. Air Force is recognized for leadership in innovation and technology. In 500 words or less,
tell us how you have found a better way to get students excited about science and technology.
What innovative techniques did you use to help students learn and stay motivated?



 



● Please note that successful candidates must provide their Social Security Number to the United States Air Force
   to undergo a routine background check in order to gain access to the Air Force Base facilities.


        
 
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