SCTE Foundation Grant for FIRST Application

SCTE Member's Name: *

SCTE Member Number: *

Company: *

Job Title: *

Address Line 1: *

Address Line 2:

City: *

State: *

Zip: *

Country: *

Email: *

Phone: *

Please describe the FIRST team your son/daughter is involved in. Where the team is located (school, city, state)? * FIRST Team Location

What is the team's name? *

Is it your son or daughter who is involved with this team? *

Daughter

Son

How long have they been involved? *

What grade are they in school? *

As the parent, are you involved with the team and in what capacity? *

Please explain how will this team will benefit from funds, if awarded, by the SCTE Foundation: *