Contact Information and narrative questions

Please complete application to apply for funding through the ORTOP Team Support Award Program.  All narrative responses should be 200 words or less.  For Questions that do not apply to your application enter N/A or 0 in the response blank to allow you to continue filling in the form. 

Question Title

* 1. Name of person completing this application

Question Title

* 2. Select all the box(es) which describe the role(s) of the person completing this application. (check all that apply)

Question Title

* 3. Team Location Information

Question Title

* 4. Team County Location Information

Question Title

* 5. What best describes your team’s affiliation?

Question Title

* 6. Please provide the percentage of students at your school who receive free or reduced lunch.


OR


If your team members do not attend public school, please provide the free and reduced lunch percentage for the public school most of the team are zoned to attend. Use the Oregon Department of Education report

Question Title

* 7. ORTOP Team Support Award Compliance Statement. If awarded an ORTOP Team Support Award, applicant/coach must: 1) Complete, sign and return the Award Acceptance Letter with named coaches within 10 days of notification. 2) Maintain records of expenditures, including receipts, for three years after the award date and may be asked to submit documentation to ORTOP in the event of an audit if a check is provided 3) Complete a year-end report and/or questionnaire about student participation and program impacts.
Failure to comply may result in loss of eligibility for future awards through ORTOP.

Question Title

* 8. Every team must have 2 adult leaders. Please provide contact information for your adult leaders. If unknown at the time of application, please list as unknown.

Question Title

* 9. What is your plan for inviting and engaging additional mentors and experts beyond the 2 required mentors? Please describe your successes and challenges in securing mentors and experts.

Question Title

* 10. Please describe student interest at this time in having a FIRST team? How many students have committed to be on the FIRST team if you can secure the funds to have one? What are the plans for sustaining membership on the team?

Question Title

* 11. Please describe your planned team meeting space.

Question Title

* 12. After reviewing the Timeline of a season on the application information page…
Details are very important in this section. Please include dates when applicable.

Question Title

* 13. Are there any significant changes (veteran application)/ challenges (rookie application) to your meeting space or ability to implement the program?

Question Title

* 14. (Veteran ONLY / Rookie enter N/A)  - How does your team share with your community the season's experience or encourage others to participate in FIRST?

Question Title

* 15. At this time is your team(s) planning to participate...

Question Title

* 16. Which best describes your team's meeting scenario?

Question Title

* 17. Building STEM literacy and confidence is required to be successful in nearly every endeavor in today’s technology-rich society. Successful companies strive for a diverse workforce to create an innovative and productive workforce, and the ability to collaborate with individuals with different backgrounds and perspectives is a critical workforce skill. An inclusive FIRST team ensures all people are, and feel, free to bring their full selves, offer their true and unguarded perspectives, and find a welcoming and inviting place for those ideas every day.


ORTOP is committed to bringing FIRST to students who would benefit most, and is actively engaged in developing strategies that reduce inequities and ensure greater access to the programs for underserved, underrepresented, and vulnerable youth.

- Explain the strategies your team uses throughout the season to create an inclusive environment.
- Focus on how you will apply these strategies in a way that is specific to your team and the opportunities available to you.
- Describe how the adult mentors on your team are prepared to implement these strategies.
- Discuss specific challenges your community faces and how you plan to address them.  

For more information, definitions and suggested strategies, see the materials on the application information page, or go to https://www.firstinspires.org/about/diversityinclusion.

Question Title

* 18. How many teams of each type are you requesting be considered for funding? Enter  number of teams or 0 if category is not applicable. 

Question Title

* 19. What team number did this team (these teams) use before? (Veteran teams only, Rookie teams enter team number if registered or N/A if not yet registered)

Question Title

* 20. Please provide a projected budget for your team. This budget should include not only the money you are seeking to receive from ORTOP, but also the money you project to collect through team dues, fundraising, support of organizations like PTA or PTO, local business sponsorships, and grants from other sources. Use the sample budget from the application information page as a starting place, and customize it to your team’s unique circumstances.
Do not include any expenses to World Championships. 

For successful entry, only enter digits. Do not enter any special characters, like "$", or "." or any alphabetic characters.  Also fill in any unused fields with "0".

Question Title

* 21. Please include here any additional comments on your budget.

Question Title

* 22. (Veteran Teams ONLY - If rookie team, enter N/A) Please list your sources of financial support from last year and each of their donations to your team. Tell us about any significant changes you anticipate this year.

Question Title

* 23. Please tell us the reasons why your team is requesting financial assistance. Focus on the financial challenges faced by your team. Please be as specific as possible, and avoid focusing on the benefits of receiving the funding. Remember, we already have the rate of Free and Reduced Lunch for your area. Focus on the specifics for THIS TEAM.

Question Title

* 24. Please upload a copy of your W9 if at all possible. We will require it prior to making any award. It can also be emailed or mailed to ORTOP but we prefer that you upload it. 

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

Question Title

* 25. Any final comments?

T