QUALIFICATION STATEMENT


    Team Members
                                        UG=Undergraduated;     G=Graduated;
    Member 1.
    Name: _________________________________________________________________
    ID: ________________________________
    Course: _______________________________________________ UG: ____G: ____

    Member 2.
    Name: _________________________________________________________________
    ID: ________________________________
    Course: _______________________________________________ UG: ____G: ____
    
    Member 3.
    Name: _________________________________________________________________
    ID: ________________________________
    Course: _______________________________________________ UG: ____G: ____

    
    
    School Advisor
    Name: _________________________________________________________________
    ID: ________________________________
    Position:______________________________________________________________
    e-mail:____________________________________
   
    Coach (do not fill if is the same as the school advisor)
    Name: _________________________________________________________________
    ID: ________________________________
    Position:______________________________________________________________
    e-mail:____________________________________

    School 
    Name: _________________________________________________________________
    Address:_______________________________________________________________
    City: ________________________________state: _____ zipcode:____________
    phone:______________________
    
    
    I hereby certify that all the information above is true and that the
    registered students fullfill the requirements for participating according
    to the contest rules.

                                          ___________________________________
                                              School Advisor's Signature