Nomination Form

Information and submission of the Nomination Form must be received between 10/1/2016 and 12/14/2016. If you submit the form prior to 12/14/2016, you still have until the deadline to update and resubmit your nomination form.

Click here for the second phase of the process, which is the Q7 Concept Form, due 1/20/2017.

You also have the option of filling out both required forms manually and submitting them to TYEUniversity@TiE-Atlanta.org

Click here to download the Nomination Form. 
Click here to download the Q7 Concept Form.

*Upon receipt, a confirmation email will be sent to both the Team Captain and Faculty Advisor by next business day.

Provide your first name, last name and email address.

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* 1. Provide your first name, last name and email address.

NAME OF UNIVERSITY

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* 2. NAME OF UNIVERSITY

COLLEGE WITHIN UNIVERSITY (if applicable)

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* 3. COLLEGE WITHIN UNIVERSITY (if applicable)

TEAM NAME (if decided)

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* 4. TEAM NAME (if decided)

In the following questions, provide the requested information for each team member. If the information doesn't pertain to your team, please respond with NA.

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* 5. In the following questions, provide the requested information for each team member. If the information doesn't pertain to your team, please respond with NA.

Provide the requested information for team captain. If the information doesn't pertain to your team, please respond with NA.

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* 6. Provide the requested information for team captain. If the information doesn't pertain to your team, please respond with NA.

Provide the requested information for team Member #2. If the information doesn't pertain to your team, please respond with NA.

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* 7. Provide the requested information for team Member #2. If the information doesn't pertain to your team, please respond with NA.

Provide the requested information for team Member #3. If the information doesn't pertain to your team, please respond with NA.

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* 8. Provide the requested information for team Member #3. If the information doesn't pertain to your team, please respond with NA.

Provide the requested information for team Member #4. If the information doesn't pertain to your team, please respond with NA.

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* 9. Provide the requested information for team Member #4. If the information doesn't pertain to your team, please respond with NA.

Provide the requested information for team Member #5. If the information doesn't pertain to your team, please respond with NA.

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* 10. Provide the requested information for team Member #5. If the information doesn't pertain to your team, please respond with NA.

Provide the requested information for team Member #6. If the information doesn't pertain to your team, please respond with NA.

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* 11. Provide the requested information for team Member #6. If the information doesn't pertain to your team, please respond with NA.

Provide the requested information for team Member #7. If the information doesn't pertain to your team, please respond with NA.

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* 12. Provide the requested information for team Member #7. If the information doesn't pertain to your team, please respond with NA.

Any additional information, comments, assistance needed (if any), etc.

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* 13. Any additional information, comments, assistance needed (if any), etc.

Faculty Advisor Signature / Initials

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* 14. Faculty Advisor Signature / Initials

Team Captain Signature / Initials

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* 15. Team Captain Signature / Initials

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