Section 0: Application Information

Application ID (required)
[submission_id serial-number]

Section 1: Mentor Team Contact Information
(Team that is mentoring and applying for a certificate)

Mentor Team Number (required)

Mentor Team Name (required)

Mentor Team Program (required)
—Please choose an option—FIRST LEGO League DiscoverFIRST LEGO League ExploreFIRST LEGO League ChallengeFIRST Tech ChallengeFIRST Robotics Competition

Lead Mentor Name (required)

Lead Mentor Email (required)

Lead Mentor Phone Number (required)

(required) I have read and understand the Mentoring guidelines as per the listed criteria

(required) I have met the criteria to be awarded a Mentor Certificate for my team

Section 2: Mentee Team Contact Information
(Team that is being mentored)

Mentee Team Number (required)

Mentee Team Name (required)

Mentee Team Program (required)
—Please choose an option—FIRST LEGO League DiscoverFIRST LEGO League ExploreFIRST LEGO League ChallengeFIRST Tech ChallengeFIRST Robotics Competition

Lead Mentor Name (required)

Lead Mentor Email (required)

Lead Mentor Phone Number (required)

Section 3: General Information

Our team has mentored the rookie/new team starting on this date: (required)

And continues or will continue to mentor the team until: (required)

Section 4: Mentorship Certificate Criteria (Please check all that apply)

Mentoring team has mentored rookie/new team from offseason through the FRC robot build season, and/or FLL qualifying competition, and/or FLLJR exposition

Mentoring team has worked closely with team to prepare them for one or more competitions and/or exposition(s)

Mentoring team has successfully met the overall criteria based on the Chairman’s Award definition of “Starting, Mentoring, Assisting a Team”

Mentoring team has mentored for at least one full season?

Mentoring team has provided/submitted via website application all detailed information regarding key examples and areas of mentorship with their mentee team

Started a Team Criteria

Funded or sourced funding (i.e. grants or sponsorship) of at least 50% of the team registration fee.

Made the team aware of FIRST and/or the specific program and assisted the team with the official registration process.

The Started Team would agree that the Starting team did provide this level of support.

Mentored a Team Criteria

Providing consistent (at least once a week during the lead up to competitions (e.g. FIRST Robotics Competition Build Season) communication, either in person or via phone/email/video conference, to the Mentored team helping with technical or non- technical FIRST program specific issues.

The Mentored team would agree that the Mentoring team did provide this level of support.

Assisted a Team Criteria

Providing communication, either in person or via phone/email/video conference, to the Assisted team, helping with technical or non-technical FIRST program specific issues, OR providing funding and/or supplies to the Assisted team.

The Assisted Team would agree that the Assisting team did provide this level of support.

Δ