Lego Robotics / G. E. M. S. G. I. S. E. Applications

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Lego Robotics / G.E.M.S. G.I.S.E.



Students entering 4th – 8th grade will form robotics teams and participate in the Minnesota FIRST LEGO League robotics competitions. This will involve a regional tournament in December or January and the possibility of participating in state tournaments in January.


When does Robotics meet?

For two hours each Monday and or Wednesday after school. We will meet more often, as needed, closer to the tournament dates. Students will need to make arrangements for transportation home until the after school busses start in October. We will send a note about transportation arrangements when students are accepted.


How do I apply for Robotics?

If you are interested in applying for the 2014 Lego Robotics program please fill out the attached application. Applications are due no later than Monday, September 15 at 2:00 pm. Please return the completed application materials to the office. 


How do I get chosen for Robotics?

  • Students will be judged on:

  • Completeness of the application (questions answered thoroughly and returned).

  • Ability to work with a group of classmates on a project.

  • Enthusiasm, genuine interest and commitment to the Robotics program

  • Potential and ability to develop critical leadership skills.

  • Enthusiasm, cooperation, stick-to-itness, willingness to take chances-make mistakes,

  • Respect for others, interest in science, mathematics, and technology


When will I know if I have been accepted to Robotics?

Friday, September 19. You will receive a letter and/or an e-mail.


We are asking for a $75.00 fee to cover the costs of the program. This will go to pay team registrations, tournament field maps, and other materials.  







Background Information


Student Name (Full/Legal Name):_____________________________


Address: _________________________________Zip:___________


Telephone (home)_______________Telephone (cell):_____________


Date of Birth (e.g., March 15, 1994):__________________________


E-mail: _________________________ _____________________


School: _______________________________Grade:___________


Student ID number:____________Classroom number ____________


Parent/Guardian Name:________________________________________


Address (if different):_________________________________________


Telephone (home): ___________Telephone (cell):________________





Other family, school, community, religious activities, etc. you are involved in that might affect your participation in the Robotics program:


In order to accommodate your needs, please list any health, learning, cultural, religious or personal concerns that may affect your participation in the Robotics program:


Personal Essay

Completing Your Essay

Essays can be hand written or typed. If you hand write your essay please make it as easy to read as possible. Answer these questions completely and thoughtfully:


1. What are two reasons you would like to participate in the Robotics program? How might it help you?


2. Describe a project or a major task you have completed this past school year (either on your own or with a team). What were some of the problems you faced? How did you solve those problems? What did you learn about yourself by doing this project or completing this task?


3. Describe a group you have worked with this past school year? What was one problem in working with this group? What would or did you do to solve this problem? For you, what is the hardest thing about working with a group of students?


Pledge of Commitment

I promise that if chosen for the 2013 Robotics program I will attend all sessions, work hard with my group, cooperate, and be respectful with all participants and adults in the program and be a worthy ambassador for the Seward Robotics program at all public events. 

My signature pledges my commitment to these goals. 



Date: Student signature__________________________________________________


Parent/Guardian  Commitment / Consent

We need two parent volunteers for every 10 students we accept into the program. Volunteers will  assist students by keeping them  on task, helping them organize their work and stay on schedule.  If you can not volunteer on a regular basis you need to be prepared to ensure that your child finishes their part of the research assignment, attends all the planned meetings and possibly host a weekend practice, or organize a trip to the library or on a related Field Trip. I understand that this program involves a huge commitment for students and parental support is essential to their success.


______________________________ has my full support and consent to participate in the 2013 Robotics  program . I have read over the material and pledge my effort to helping my  student be successful by __________________________________________________________


Date: Parent/Guardian signature_________________________________________


Teacher Recommendation


Due: Friday, September 27, 2013

To be completed by a teacher who has worked with student.

Students Name:____________________________________________


Please complete the following questions concerning this students application for the 2013 Lego Robotics Program. The goal of this program is to provide an opportunity for students to experience challenging hands-on science projects incorporating technology. Your input will help  staff determine the appropriateness of this student for the  program. When you are finished completing this information please place it in Agnes  Kilpatrick’s school mailbox . If you have questions concerning this application please call Agnes Kilpatrick 612 306-8653 after 2:00.

1. Describe your relationship with this student and how long you have known the student.

2. Please circle how you would rate this student on the following (circle one).

Far Below Level Below level of peers On Par with Peers Above level of peers Far Above level of peers

a. Ability to work with peers on a group project. 1 2 3 4 5

b. Hard work & persistence at working through a problem. 1 2 3 4 5

c. Maturity working in a variety of settings with a variety of people. 1 2 3 4 5

d. Leadership ability and/or potential. 1 2 3 4 5

e. Potential to benefit (personally or academically) from this program. 1 2 3 4 5

f. Representative of the school and robotics project 1 2 3 4 5

g. Interest in math, science, and technology 1 2 3 4 5

3. Other information you would like to share with the staff.

4. My overall recommendation of this student for this program is (CHECK ONE)

_______Do not recommend.

_______Recommend with reservations. Please describe your concerns:

_______Recommend as a good candidate for this program.

_______Highly Recommend as an excellent candidate for this program.


Recommender’s signature ______________________________

Date: ____________________
May we contact you if we have further questions? Yes___ No___

Telephone: _____________________________________


Please put your recommendation in Agnes Kilpatrick’s mailbox by 2:30 September 23rd.

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