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INSTITUTION TEAM NAME
 
PROJECT DURATION: One-Semester ONLY   Two Semesters
If you are a two-semester team, is this: Semester One of Two   OR   Semester Two of Two
If This is Your Team's Second Semester - have you noted any team changes below?
No team changes    Yes - team changes & updates made
Is this project a continuation of a previous team's work? YES    NO

If yes, please note the previous team's institution / name / participation semester, if known.

 
FACULTY ADVISOR EMAIL
DEPT NAME PHONE FAX US CITIZEN?
]
UPS DELIVERY ADDRESS STATE T-SHIRT SIZE
 
DEPT CHAIRMAN EMAIL
ACCOUNTING CONTACT EMAIL


TEAM MEMBERS: Enter as last name first in alpha order [Smith, David L.]. Abbreviate major [BIOE, EE, ME etc] and academic level [FR, SO, JR, SR, GR]. Provide hometown/citizenship info [hometown is where you grew up, not necessarily where you are currently living]. Use radio button to designate an alternate team leader.
 
TEAM MEMBER #1 EMAIL TEAM ROLE
MAJOR ACAD LEVEL GPA (optional) T-SHIRT SIZE
HOMETOWN CITY STATE US CITIZEN?
NON-US CITY / PROVINCE COUNTRY CITIZEN OF?
ETHNICITY/RACE (optional) GENDER (optional)
 
TEAM MEMBER #2 EMAIL TEAM ROLE
MAJOR ACAD LEVEL GPA (optional) T-SHIRT SIZE
HOMETOWN CITY STATE US CITIZEN?
NON-US CITY / PROVINCE COUNTRY CITIZEN OF?
ETHNICITY/RACE (optional) GENDER (optional)
 
TEAM MEMBER #3 EMAIL TEAM ROLE
MAJOR ACAD LEVEL GPA (optional) T-SHIRT SIZE
HOMETOWN CITY STATE US CITIZEN?
NON-US CITY / PROVINCE COUNTRY CITIZEN OF?
ETHNICITY/RACE (optional) GENDER (optional)
 
TEAM MEMBER #4 EMAIL TEAM ROLE
MAJOR ACAD LEVEL GPA (optional) T-SHIRT SIZE
HOMETOWN CITY STATE US CITIZEN?
NON-US CITY / PROVINCE COUNTRY CITIZEN OF?
ETHNICITY/RACE (optional) GENDER (optional)
 
TEAM MEMBER #5 EMAIL TEAM ROLE
MAJOR ACAD LEVEL GPA (optional) T-SHIRT SIZE
HOMETOWN CITY STATE US CITIZEN?
NON-US CITY / PROVINCE COUNTRY CITIZEN OF?
ETHNICITY/RACE (optional) GENDER (optional)
 
TEAM MEMBER #6 EMAIL TEAM ROLE
MAJOR ACAD LEVEL GPA (optional) T-SHIRT SIZE
HOMETOWN CITY STATE US CITIZEN?
NON-US CITY / PROVINCE COUNTRY CITIZEN OF?
ETHNICITY/RACE (optional) GENDER (optional)
 
TEAM MEMBER #7 EMAIL TEAM ROLE
MAJOR ACAD LEVEL GPA (optional) T-SHIRT SIZE
HOMETOWN CITY STATE US CITIZEN?
NON-US CITY / PROVINCE COUNTRY CITIZEN OF?
ETHNICITY/RACE (optional) GENDER (optional)

TOPIC CHOICE TOPIC TITLE RESEARCH AREA
#1 PRIMARY
#2 ALTERNATE

COURSE/CREDITS:
COURSE #1 TITLE:
CREDITS
COURSE #2 TITLE:
CREDITS
OTHER

Please provide a brief description of the team's plan for addressing the design topic this semester.