Dear Student,

Thank you for entering the 2008 UWM Student GIS Project Competition.

Please complete the following form. The University of Wisconsin-Milwaukee requires certain information when issuing checks for prizes. (noted by *)

Each team member must submit a form. Please submit multiple forms if you have multiple submissions.

Good luck

Student Name*
Student Social Security Number* #
Email address
Phone number

Date

Academic Program Affiliation and Level
                                                                                (ie MS Geosciences) [optional]

Home Address
Street address*
City*
State*
Zipcode*

Permanent Address
Street address
City
State
Zipcode

Country of Citizenship*

Project Title

Name of the person who paid for printing this project.

Format Type*
Poster and paper
Paper only

Submission Type*
Individual submission
Group submission

Academic Level*
Undergraduate student submission
Graduate/Certificate student submission