QUALIFICATION STATEMENT

Team Members
UG=Undergraduated;

G=Graduated;

Member 1.
Name: _________________________________________________
ID: ________________________________
Course: _______________________________________________ UG: ___ G: ____
Member 2.
Name: _________________________________________________
ID: ________________________________
Course: _______________________________________________ UG: ___ G: ____
Member 3.
Name: _________________________________________________
ID: ________________________________
Course: _______________________________________________ UG: ___ G: ____

School Advisor
Name: _________________________________________________________________
ID: ________________________________
Position:______________________________________________________________
e-mail:____________________________________
Coach (do not fill if is the same as the school advisor)
Name: _________________________________________________________________
ID: ________________________________
Position:______________________________________________________________
e-mail: ____________________________
School
Name: _________________________________________________________________
Address:_______________________________________________________________
City: ________________________________state: _____ zipcode:____________
phone:______________________

I hereby certify that all the information above is true and that the
registered students fullfill the requirements for participating according
to the contest rules.
___________________________________
School Advisor's Signature