LDI 2014-2015 Registration

Basic Information

This page covers the basic information about the organization and team liaison. Please complete this registration form by Friday, Jan. 16.

Question Title

* 1. Organizational Information

Name

Address

Phone

Website

Question Title

* 2. Team Liaison Information

Name

Phone

Email

Position/Relationship to organization

Question Title

* 3. Currently, is there a specific area/issue your team is trying to address? If so, do you have a specific project to address it? Please describe.