ORTOP Team Support Application

Welcome to the 2023-24 ORTOP Team Support Application.

Please submit this form to request funding through ORTOP's Team Support Program. Team Support awards are competitive due to both requirements of our grantors, and generally limited funding. ORTOP prioritizes funding to applicants who support participation in under-resourced communities.

Please tell us about unique or specific circumstances that your team(s) face this season. Our volunteer reviewers appreciate receiving concise information, and also value reading your responses about your program, successes, and challenges.

You may save your edits and return to this page as needed prior to submitting. A Request for Proposals (RFP) with additional information and resources is available at www.ortop.org/team-support/

Questions? Need help with your application?

Email: team-support@ortop.org

I consent to ORTOP and our third-parties (Salesforce, Google, FormAssembly) collecting and storing my personal information to process my application. I agree to receive messages via email, phone, or postal service. I agree to respond to inquiries regarding this application in a timely manner.

I agreeI do not agree

Contact Information

Your First Name

Your Last Name

Your Email

Your Phone Number (numbers only)

Your role in this application (select as many as appropriate)

Coach or MentorParent of Team MemberNon-parent Volunteer for the teamSchool or District Leader (School Principal or Superintendent)School or School District grant writerOther (please specify)

What is your other role in filling out this application?

Are you also a teacher?

Yes
No

Program Location

Are you applying on behalf of a school or organization?

Yes
No

Name of your School or Organization

City where team meets

Zip Code

County

State

ORWACA

Free and Reduced Lunch

Please provide the percentage of students who qualify for the Free and Reduced Meals Program at the school or district where most students of the team are zoned to attend.

Please use the Oregon Department of Education Free and Reduced Lunch Report (this link will open as a pdf document).

Percentage of Free and Reduced Lunch at the referenced school

%

Referenced School Name

Referenced School District

Student Interest and Recruiting

How many students do you expect to participate on the team(s) if you can secure funding?

Please describe the level of student interest in having FIRST team(s). What are the plans for sustaining the team(s)?

Please describe the plan for inviting and engaging additional mentors and experts beyond the required two coaches per team? Describe your successes and challenges in securing mentors and experts.

Please describe the specific strategies the team(s) will use throughout the season to build an inclusive environment and diverse team membership. How will you recruit and retain students from underrepresented communities? Consider: girls, students of color, English-language learners, undocumented students, students with disabilities, students with learning differences, LGBTQIA2S+ students (including those not yet 'out'). What challenges exist for these students and how will your team approach these challenges?

Team Meetings

Facilities

Please describe the planned meeting facilities for the teams. If there are multiple teams in your program, and the team meeting spaces differ, please describe each.

Do the team(s) have access to dedicated space?

YesNo

Is there room to set up a practice field?

YesNoUnknown

Please describe how you will secure the team's equipment and supplies between meetings.

Meeting Planning

Describe your meeting plans

What date will teams start conducting meetings?

How often will teams meet each week?

How many minutes per day/meeting?

Describe the timeline to be prepared for competition.

What else would you like to share about your preparations to be successful?

Sharing FIRST Experience

How will the team share their team experiences with their community, or encourage others to participate in FIRST?

Budget Information

Number of teams summary

Program Number of Number of
Returning Teams New Teams

FIRST LEGO League
Explore

FIRST LEGO League
Challenge

FIRST Tech
Challenge

FIRST Robotics
Competition

Program Budget (for all teams)

Please provide a projected overall budget. This budget should include not only the money you are requesting from ORTOP, but also the revenue you will collect through team dues, fundraising events, support from organizations such as PTA or PTO, local business sponsorships, and grants from other sources. Use the sample budget from the application information page as a starting place, and customize it to your team’s unique circumstances.

Do not include expenses for World Championships or participation in out-of-state events.

How many students are you expecting to participate in the program overall?

You can change this number on page 3.

Expenses
Please enter Budget Amount and Notes.
Some Budget Amounts are calculated from your entries on page 2. To change the calculated amount, please change your entries on page 2.

PNW District Fee	Enter notes only, not a budget amount.
FIRST Registration	Enter notes only, not a budget amount.
ORTOP Season Registration	Enter notes only, not a budget amount.
Season Challenge Kit	Enter notes only, not a budget amount.
Season Field Elements	Enter notes only, not a budget amount.
Robot Kits	Enter notes only, not a budget amount.
Shop Supplies	Enter notes only, not a budget amount.
Equipment or reusable tools	Enter notes only, not a budget amount.
Travel/Meals/ Lodging	Enter notes only, not a budget amount.
Marketing/ Fundraising	Enter notes only, not a budget amount.
Coach/Mentor Stipend	Enter notes only, not a budget amount.
Other Expenses	Enter notes only, not a budget amount.
Total Expenses

Income Section
Please enter Budget Amount and Notes.

Team Dues/ Fees	Enter notes only, not a budget amount.
Fundraiser Income	Enter notes only, not a budget amount.
Local Sponsorship	Enter notes only, not a budget amount.
National Grants	Enter notes only, not a budget amount.
Other Grants	Enter notes only, not a budget amount.
Other Income	Enter notes only, not a budget amount.
Total Income	Use the boxes ^above for any notes.

Budget Gap (Surplus)

Amount of Unsecured Funding

$

Amount requested from ORTOP Team Support funds:

$

Any other budget information?

Please tell us the reasons you are requesting financial assistance. Explain the challenges faced by the team(s), and not just the benefits of receiving the funding. Please be as specific as possible, remembering that you already shared rate of Free and Reduced Lunch eligibility for your school area.

Any final comments?

Award Agreement and submission

IRS Form W-9

If you are awarded Team Support, ORTOP will make payment to the organization named on the Form W-9 you provide here. The check will be mailed to the address on the Form W-9. Please ensure the Form W-9 is up-to-date, and uses an IRS Form W-9 no earlier than 2018.

Please upload a copy of your W9.

Acceptance of the ORTOP Team Support Award Letter requires two signatures. At least one signatory must be an employee of the organization named on the Form W-9.
Please provide the email address for the second signatory:

Agreements

If awarded a Team Support Award, I agree that our school or organization will
1) complete, sign and return the Team Support Award Acceptance Letter within 10 days of receipt;
2) maintain accurate records of expenditures, including receipts, for three years after the award date, and submit documentation to ORTOP upon request;
3) complete an interim report about event-readiness;
4) complete a year-end report including budget, student participation, and program impact.
Failure to complete these steps may result in loss of eligibility for future Team Support Awards from ORTOP.

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Cannot submit without consent

You must agree to the data collection Terms on page 1 and Agreement above before you can submit this form.