Collegiate Challenge Intent to Participate Form

Faculty Advisor and School Information

Faculty Advisor's Name

First Last

Faculty Advisor's Title

Faculty Advisor's Phone

Faculty Advisor's Email

Faculty Advisor's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Faculty Co-Advisor's Name

If applicable

First Last

Faculty Co-Advisor's Title

Faculty Co-Advisor's Email

4 Year College or University

Names of Students - Max of 2 teams per school. Please coordinate with other faculty at your school. Team size must be 3 or 4 students.

Team 1

Member Name	Major	Email

Please put Team Captain Name first.

Team 2

Member Name	Major	Email

Please put Team Captain Name first.