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1. Participant Information

This information is confidential and is used by the KISS Institute to improve our program and to provide aggregate statistical information for fund raising efforts.

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* 1. What is your team #? This will only be used for the purpose of the online documentation requirement and to group responses.

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* 2. What grade are you in?

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* 3. What is your gender?

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* 4. What is your ethnicity? You may choose more than one category.

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* 5. Disabilities (select all that apply):

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* 6. Number of years you personally have been involved in Botball?

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* 7. Which region will you compete in?

  Region
Austria
Arizona
Colorado
Florida
Georgia
Chicago
Greater DC/Virginia
Greater Los Angeles
Greater San Diego
Greater St. Louis
Hawaii
Maryland
New England
New Mexico
New York/New Jersey
Northern California
Oklahoma
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Texas

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* 8. What is your role on the team? Please select all that apply.

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* 9. Did your team build a game table to practice on?

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* 10. Do you participate in other robotic or engineering contests and programs?

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