2022-2023 FLL Explore Class Pack Grant Application

Step 1 of 3

Applicant Information

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)

Shipping Address(Required)

Please note this is where your grant cheque will be sent.

Street Address City Province/Territory Postal Code

Team Information

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)

I hereby confirm that:
a) I am newly implementing the FIRST LEGO League Explore program this season at this school/organization. or
b) I am a second year team implementing the FIRST LEGO League Explore program this season at this school/organization.
I understand that this commitment is for a minimum of two years and that equipment can be retrieved by FIRST Robotics Canada for use with another group if this obligation is not met.
By checking the box below you agree to:

Implement the FLL Explore program in my classroom during the 2022-2023 SUPERPOWERED℠ season.
Submit pictures, videos and testimonials from throughout the season to FIRST Canada to thank sponsors for their financial support.

I agree to the above statements(Required)

Finance Information

Cheque Payable Name - Please note cheques cannot be made payable to individuals(Required)

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

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 2022-2023 grants