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Virtual Case Study Registration

 
School & Faculty Information

Name of School:
Name of Masters Program:
Name of Faculty Adviser:
Faculty member's address:
City:    State:    Zip:
Faculty member's email:
Faculty member's phone #:
 


Team Member Information
* each team must be comprised of either three or four individuals
Team Member #1:
Name:
Address:
City:    State:    Zip:
Email:
Phone #:
 

Team Member #2:
Name:
Address:
City:    State:    Zip:
Email:
Phone #:
 

Team Member #3:
Name:
Address:
City:    State:    Zip:
Email:
Phone #:
 

Team Member #4:
Name:
Address:
City:    State:    Zip:
Email:
Phone #:
 



Submitter's Name:
Submitter's Email:
Additional Comments:
Enter any other notes that we may need to process your submission:
 



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