Preview Form
This is an example of the application questions with which you will be presented. It is recommended that you compose the answers to the paragraph questions in a word processing program and then cut and paste that text into the online application.
Contact Information
*First Name
(Text)(40 character maximum)
Instructions:
*Last Name
(Text)(40 character maximum)
Instructions:
*Address
(Text)(100 character maximum)
Instructions:
*City
(Text)(50 character maximum)
Instructions:
*State
(Single-Select List)
  • (Not Applicable)
  • Alabama
  • Alaska
  • American Samoa
  • Arizona
  • Arkansas
  • Armed Forces Africa/Canada/Europe/Middle East
  • Armed Forces Americas (except Canada)
  • Armed Forces Pacific
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Federated States of Micronesia
  • Florida
  • Georgia
  • Guam
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Marshall Islands
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Northern Mariana Islands
  • Ohio
  • Oklahoma
  • Oregon
  • Palau
  • Pennsylvania
  • Puerto Rico
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virgin Islands
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
Instructions:
*Zip/Postal Code
(Text)(20 character maximum)
Instructions:
*Telephone
(Text)(30 character maximum)
Instructions:
*E-mail Address
(Text)(100 character maximum)
Instructions:
  • Monsanto Fund communicates via email, so it is crucial that the supplied email address is directed to the project lead, and that they are able to receive emails from Monsanto Fund.
  • Monsanto Supporter Information
    *Monsanto Site Manager First Name
    (Text)(500 character maximum)
    Instructions:
    *Monsanto Site Manager Last Name
    (Text)(500 character maximum)
    Instructions:
    *Which Monsanto Community does/will your program serve?
    (Single-Select List)
    • Alabama
    • Arizona
    • Arkansas
    • California
    • Connecticut
    • Florida
    • Georgia
    • Hawaii
    • Idaho
    • Illinois
    • Indiana
    • Iowa
    • Kansas
    • Louisiana
    • Maryland
    • Massachusetts
    • Michigan
    • Minnesota
    • Mississippi
    • Missouri
    • Nebraska
    • New Mexico
    • North Carolina
    • North Dakota
    • Ohio
    • Puerto Rico
    • South Carolina
    • South Dakota
    • Tennessee
    • Texas
    • Washington
    • Wisconsin
    Instructions:
    Alabama Community
    (Single-Select List)
    • Loxley
    Instructions:
    Arkansas Community
    (Single-Select List)
    • Stuttgart
    Instructions:
    Arizona Community
    (Single-Select List)
    • Casa Grande
    • Eloy
    • Marana, AZ
    • Yuma "inactive as of Aug2016"
    Instructions:
    California Community
    (Single-Select List)
    • Arroyo Grande
    • Davis
    • LaJolla
    • Oxnard
    • Salinas
    • San Francisco
    • San Juan Bautista
    • Williams
    • Woodland
    Instructions:
    Connecticut Community
    (Single-Select List)
    • Mystic (closed 2016)
    Instructions:
    Florida Community
    (Single-Select List)
    • Felda
    Instructions:
    Georgia Community
    (Single-Select List)
    • Leesburg "inactive as of 2-16-2015"
    • Tifton (closed 2016)
    Instructions:
    Hawaii Community
    (Single-Select List)
    • Haleiwa-Oahu
    • Kaunakakai-Molokai
    • Kihei-Maui
    • Kunia, Oahu
    Instructions:
    Iowa Community
    (Single-Select List)
    • Ames
    • Ankeny
    • Beaman
    • Boone
    • Clarion
    • Grinnell
    • Huxley
    • Independence
    • Muscatine
    • Spencer "inactive as of 12-21-2015"
    • Storm Lake
    • Williamsburg
    Instructions:
    Idaho Community
    (Single-Select List)
    • Filer
    • Nampa
    • Payette
    • Soda Springs
    Instructions:
    Illinois Community
    (Single-Select List)
    • Ashton
    • Bloomington
    • Centralia
    • Chicago
    • Farmer City
    • Illiopolis
    • Jerseyville
    • Mason City
    • Monmouth
    • Morton
    • Stonington
    • Thomasboro
    • Tremont "inactive as of 12-21-2015"
    • Waterman
    Instructions:
    Indiana Community
    (Single-Select List)
    • Evansville
    • Lebanon
    • Oxford "inactive as of 2-16-2015"
    • Remington
    • Windfall
    Instructions:
    Kansas Community
    (Single-Select List)
    • Garden City "inactive as of 2-16-2015"
    • Mt. Hope
    • Paola
    • Wichita
    Instructions:
    Louisiana Community
    (Single-Select List)
    • Luling
    Instructions:
    Maryland Community
    (Single-Select List)
    • Galena
    Instructions:
    Massachusetts Community
    (Single-Select List)
    • Cambridge
    Instructions:
    Michigan Community
    (Single-Select List)
    • Constantine
    • Mason
    Instructions:
    Minnesota Community
    (Single-Select List)
    • Glyndon
    • Olivia
    • Owatonna
    • Redwood Falls
    • Stanton
    Instructions:
    Missouri Community
    (Single-Select List)
    • Marshall
    • Matthews
    • St. Louis
    Instructions:
    Mississippi Community
    (Single-Select List)
    • Flora
    • Hollandale
    • Leland "inactive as of Aug2016"
    • Scott
    Instructions:
    New Mexico Community
    (Single-Select List)
    • Las Cruces
    Instructions:
    North Carolina Community
    (Single-Select List)
    • Kannapolis
    • Mt. Olive
    • Research Triangle Park "inactive as of Aug2016"
    Instructions:
    North Dakota Community
    (Single-Select List)
    • West Fargo
    Instructions:
    Nebraska Community
    (Single-Select List)
    • Blair "inactive as of 2-16-2015"
    • Gothenburg
    • Kearney
    • Waco
    Instructions:
    Ohio Community
    (Single-Select List)
    • Findlay
    • Greenville
    Instructions:
    Puerto Rico Community
    (Single-Select List)
    • Isabela
    • Juana Diaz "inactive as of Aug2016"
    Instructions:
    South Carolina Community
    (Single-Select List)
    • Hartsville
    Instructions:
    South Dakota Community
    (Single-Select List)
    • Harrisburg
    Instructions:
    Tennessee Community
    (Single-Select List)
    • Union City
    Instructions:
    Texas Community
    (Single-Select List)
    • Aiken
    • Bishop
    • College Station
    • Donna
    • Dumas
    • Hale Center
    • Haskell "inactive as of 2-15-2015"
    • Lockhart
    • Lubbock
    • Taft "inactive as of 2-16-2015"
    Instructions:
    Washington Community
    (Single-Select List)
    • Othello
    • Seattle
    • Warden
    Instructions:
    Wisconsin Community
    (Single-Select List)
    • Arlington
    • DeForest
    • Janesville "inactive as of 2-16-2015"
    • Middleton "inactive as of Aug2016"
    Instructions:
    Team Profile
    *School Type
    (Single-Select List)
    • High School
    • Middle School
    • Home School
    • Academy
    • School District
    • Youth Organization
    Instructions:
  • Please indicate which school organization your team used to create your Team Profile.
  • *Legal Name
    (Text)(255 character maximum)
    Instructions:
    *Address
    (Text)(100 character maximum)
    Instructions:
    *City
    (Text)(50 character maximum)
    Instructions:
    *State
    (Single-Select List)
    • (Not Applicable)
    • Alabama
    • Alaska
    • American Samoa
    • Arizona
    • Arkansas
    • Armed Forces Africa/Canada/Europe/Middle East
    • Armed Forces Americas (except Canada)
    • Armed Forces Pacific
    • California
    • Colorado
    • Connecticut
    • Delaware
    • District of Columbia
    • Federated States of Micronesia
    • Florida
    • Georgia
    • Guam
    • Hawaii
    • Idaho
    • Illinois
    • Indiana
    • Iowa
    • Kansas
    • Kentucky
    • Louisiana
    • Maine
    • Marshall Islands
    • Maryland
    • Massachusetts
    • Michigan
    • Minnesota
    • Mississippi
    • Missouri
    • Montana
    • Nebraska
    • Nevada
    • New Hampshire
    • New Jersey
    • New Mexico
    • New York
    • North Carolina
    • North Dakota
    • Northern Mariana Islands
    • Ohio
    • Oklahoma
    • Oregon
    • Palau
    • Pennsylvania
    • Puerto Rico
    • Rhode Island
    • South Carolina
    • South Dakota
    • Tennessee
    • Texas
    • Utah
    • Vermont
    • Virgin Islands
    • Virginia
    • Washington
    • West Virginia
    • Wisconsin
    • Wyoming
    Instructions:
    *Zip/Postal Code
    (Text)(20 character maximum)
    Instructions:
    Team Details
    *Free and Reduced Lunch Eligibility
    (Single-Select List)
    • 5%
    • 10%
    • 15%
    • 20%
    • 25%
    • 30%
    • 35%
    • 40%
    • 45%
    • 50%
    • 55%
    • 60%
    • 65%
    • 70%
    • 75%
    • 80%
    • 85%
    • 90%
    • 95%
    • 100%
    Instructions:
  • Please select the percentage of school children in the district that are eligible to receive free or reduced price lunches based on their family incomes or participation in Food Stamp or Temporary Assistance for Needy Families programs.
  • *FIRST Team Number
    (Text)(500 character maximum)
    Instructions:
  • Please indicate your team number assigned to you by FIRST. You must have an FRC or FTC team number to submit your application.
  • Alternate Contact First Name
    (Text)(500 character maximum)
    Instructions:
    Alternate Contact Last Name
    (Text)(500 character maximum)
    Instructions:
    Alternate Contact Email Address
    (Text)(500 character maximum)
    Instructions:
    FIRST Robotics Information
    *Team Name
    (Text)(255 character maximum)
    Instructions:
  • Please indicate FIRST team name used.
  • *FIRST Robotics Request Type
    (Single-Select List)
    • FRC Rookie Team: $6000
    • FRC Veteran Team: $5000
    • FTC Team: $1500
    • FLL Team $300
    • Jr. FLL Team $300
    Instructions:
    *Number of Years
    (Number)(15 character maximum)
    Instructions:
  • Please enter the number of years the team has been together.
  • *Summary of Team Request
    (Paragraph)(2000 character maximum)
    Instructions:
  • In no more than four sentences, please provide a brief summary of your team's plans and what makes your team unique.
  • *Student Participants
    • Kindergarten #
    • 1st Grade Students #
    • 2nd Grade Students #
    • 3rd Grade Students #
    • 4th Grade Students #
    • 5th Grade Students #
    • 6th Grade Students #
    • 7th Grade Students #
    • 8th Grade Students #
    • 9th Grade Students #
    • 10th Grade Students #
    • 11th Grade Students #
    • 12th Grade Students #
    Instructions:
  • Please indicate the number of students on the team in each grade. You should leave grades K - 5 empty.
  • *Number of Mentors
    (Number)(15 character maximum)
    Instructions:
  • Please indicate the number of mentors for this team.
  • *Describe Team Leadership
    (Paragraph)(2000 character maximum)
    Instructions:
  • Briefly explain who will manage the success of the team and their past experience, if applicable, in working with FIRST teams. Please include mentors, teachers, and students who will serve in a leadership capacity.
  • *Race/Ethnicity of Participants Served
    • American Indian/Alaskan Native
    • Asian
    • Black or African American
    • Native Hawaiian/Other Pacific Islander
    • White/Caucasian
    • Hispanic or Latino
    • Other
    Instructions:
  • Please enter the number of participants based on demographics of individuals expected to be served by the project / program.
  • *Gender of Participants
    • Women
    • Men
    • Girls (0-18)
    • Boys (0-18)
    Instructions:
  • Please enter the number of participants based on gender of individuals expected to be served by the project / program.
  • *Team Diversity
    (Paragraph)(2000 character maximum)
    Instructions:
  • Please describe in a brief narrative diversity of your team and what makes your team unique (Ability status, socioeconomic status, gender, sex, religion, race ethnicity, etc.).
  • *Description of Need
    (Paragraph)(2000 character maximum)
    Instructions:
  • Please describe why this FIRST team needs funding.
  • *Description of Team Timeline
    (Paragraph)(2000 character maximum)
    Instructions:
  • Please provide an overview of the expected timeline. Consider bulleting key timing indicators and competitions. Please note, the one year timeline should begin no earlier than November 1st, after the grant is awarded.
  • *Define Success
    (Paragraph)(2000 character maximum)
    Instructions:
  • Briefly explain what your team hopes to accomplish. What impact does this team have on the members and mentors?
  • *Is there other anticipated funding or revenue for this project?
    (Yes/No)
    Instructions:
    Revenues
    (Paragraph)(2000 character maximum)
    Instructions:
  • Please explain the different revenue sources that are already committed, or planned fundraising for your team.
  • *Upload Project / Program Budget
    (File Upload)File Upload; 10485760 byte limit
    Instructions:
  • Please download this template, complete, and upload to this field.
  • *Sustainability
    (Paragraph)(2000 character maximum)
    Instructions:
  • How will this team be sustained beyond this school year?