2021-2022 FLL Explore Class Pack Grant Application

Step 1 of 3

Please note that a separate application is required if you are applying for multiple teams.

Are you applying for a

First-year Class Pack Grant

Second-year Class Pack Grant

Applicant Name(Required)

First Last

Applicant Email(Required)

Enter Email Confirm Email

Applicant Phone(Required)

Applicant Address(Required)

Street Address City Province/Territory Postal Code

School/Organization Name(Required)

Team Program(Required)

Team/Account Number(Required)

Team Name

Have you previously applied for a grant?(Required)

Yes

Please tell us which grant you applied for(Required)

Consent(Required)

By checking the box you agree to:

Implement the FLL Explore program in my classroom during the 2021-2022 CARGO CONNECT season.
Submit pictures, videos and testimonials from throughout the season to FIRST Canada to thank sponsors for their financial support.

I agree(Required)

Cheque Payable Name(Required)

School/Company/Organization name to which the cheque should be made payable

Team/Account Number(Required)

Team/Account number provided by FIRST after team registration

Proof of Registration Payment(Required)

Accepted file types: jpg, png, pdf, Max. file size: 6 MB.

Proof of Payment for Equipment(Required)

Accepted file types: jpg, png, pdf, Max. file size: 6 MB.

First-year grant amount

Second-year grant amount

Data Policy(Required)

I agree that the information submitted though this form may be used by FIRST Canada for the purposes of administering the 2021-22 grants