Notice of Intent to Participate in Launch
To Be Filled Out by the Faculty Mentor
Title:  First Name:  Last Name:

College:  Department:

Address:  

City:  State:    Zip Code:   

E-Mail: (ex: address@domain.com)   

Phone: (ex: ###-###-####)  

In 50 words or less, tell us why you want to join this competition: