Student Design Competition
Team Entry Form

Important Dates:
March 1, 2019 - Team Entry Forms Due
April 15, 2019 - Participation Form Due
April 23, 2019 - Written Report Due

Questions? Contact Nick Tooker
Team Name:
Your team name is your University/College and the category (WW=wastewater; ENV=environmental) you're participating in. For example: Northeastern-ENV
Participation award check to be made out to:
Memo Line:
Address:
Street Address City State / Province / Region ZIP / Postal Code
Title of Presentation
Select Category:
- Wastewater (WW)
- Environmental (ENV)
Student Contact Person (Usually Team Leader or Project Manager)
Name:
First Last
Email:
Phone:
Faculty Advisor (if applicable)
Name:
First Last
Email:
Phone:
Professional Mentor (if applicable)
Name:
First Last
Company:
Email:
Comments:
Questions: Contact Nick Tooker at 413-313-6217 or Nick Tooker

Student Contact Person (Usually Team Leader or Project Manager)