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1. Participant Information

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

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* 1. How many students are on the team?

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* 2. 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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* 3. Please indicate the number of students on the team by grade level

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* 4. Please indicate the number of team members by gender

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* 5. If you have seniors on your team, how many of them are planning on  majoring in some type of Engineering and/or Computer Science?

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* 6. Please indicate the number of team members by ethnicity

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* 7. Please indicate the number of team members that have a Disability that you are aware of (select all that apply):

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

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* 9. Which region(s) will you compete in?

  Region
Africa
Australia
Austria
China
Colorado
Greater DC/Virginia
Greater Los Angeles/Palm Desert
Greater San Diego
Greater St. Louis
GCER (St Augustine Florida)
Idaho
New England
New Mexico
New York/New Jersey
Northern California
Oklahoma
Texas

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

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* 11. What controllers did your team use this year?

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* 12. Please mark the sensors that your team is using on at least one of your robots.

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* 13. Does your team participate in other robotic or engineering contests and programs?

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* 14. Did you use the simulator at botballacademy.org ?

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