This form is to be completed by the student seeking the scholarship.
References will receive an invitation to complete a separate form on your behalf.

Your Contact Information

Full Name
Home Address
City, Prov, Postal Code
E-Mail Phone
Current School Name

About your Involvement with FIRST Robotics

How long have you been on the FIRST team?
What was your position on the team?

About Your Future

What is your expected starting term at UWindsor?
What program will you be applying for?

In 500 words or less, provide is a biographical statement about yourself and your involvement with FIRST Robotics.


Two of your teachers will need to complete a reference form. Please enter their names and email addresses so that they can receive the invitation email. Please double-check that the email addresses are correct.

Teacher Name E-Mail Address