CASNR Change Maker Competition Submission Form

Name
Name
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Address
Address
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Phone number
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Date of Birth
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High School Attending (or will attend)
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Year of Graduation
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Academic Interest Area
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Shirt size
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Video Title
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Video Short Description
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A submission must be original and the entrant must (1) hold all necessary rights to all the materials, images, videos, graphics and information in the submission or (2) have permission from the holder of such rights, or (3) the materials, images, videos, graphics and information in the submission must be in the public domain.