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NRCCFPP Student Competition Submission

 

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1. Enter the following information about yourself:

Enter the following information about yourself:   Title
Last name
First name

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2. Enter your email and telephone information

Enter your email and telephone information   Email address 1
Email address 2
Telephone 1
Telephone 2

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3. Enter your address:

Enter your address:   University/Organization
Department
Address 1
Address 2
City
State
Zip

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4. Which of the following best describes you?

Which of the following best describes you?   Undergraduate Master's student Doctoral student

Other (please specify)

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5. What is your major or academic discipline?

What is your major or academic discipline?

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6. Enter information about the faculty mentor on this project:

Enter information about the faculty mentor on this project:   Name
Title
University/Organization
Department
Address 1
Address 2
City
State
Zip
Email Address