Balsa Bridge Competition Application

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Mentors should complete the form below for their team to be eligible for the Balsa Bridge Middle School Competition.

Application deadline is October 15, 2019.

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Mentor Contact Information
Mentor Name*
First Last
Mentor Email*
Mentor Phone
Emergency Contact Name
First Last
Emergency Contact Phone
School Information
School Name*
First
School Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Does this competition count for school credit?
- Yes
- No
Did a College of Engineering Student Organization recruit your team?*
- Yes
- No
Which College of Engineering Student Organization recruited your team?
Name of student organization

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Team Information
Write a paragraph describing why your team wants to participate in the Balsa Bridge Competition.*
Team Name*
Number of Team Members*
Team Member 1 Name*
First Last
Team Member 1 Email
Team Member 1 Grade
Team Member 2 Name*
First Last
Team Member 2 Email
Team Member 2 Grade
Team Member 3 Name
First Last
Team Member 3 Email
Team Member 3 Grade
Team Member 4 Name
First Last
Team Member 4 Email
Team Member 4 Grade
Team Member 5 Name
First Last
Team Member 5 Email
Team Member 5 Grade
Team Member 6 Name
First Last
Team Member 6 Email
Team Member 6 Grade

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Mentor Contact Information