NASA's GODDARD SPACE FLIGHT CENTER EDUCATION PROGRAM
Y2K ENGINEERING COMPETITION FEATURING TERRA

COMPETITION ENTRY FORM

(Submit with solution by February 25, 2000)

Please provide the following information.

SCHOOL INFORMATION

School Name: __________________________________________________________________________

Address: ______________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

School Phone: __________________________________________________________________________

Principal's Signature of Approval: ___________________________________________________________

STUDENT TEAM MEMBER NAMES

(1) ________________________________________ (4) ________________________________________

(2) ________________________________________ (5) ________________________________________

(3) ________________________________________ (6) ________________________________________

COACH / TEACHER INFORMATION

Name: ________________________________________________________________________________

Address: ______________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

Home Phone (optional) ___________________________________________________________________

Contact E-mail address ___________________________________________________________________
(required)

I certify that the work submitted is the solely the work of the team members listed above.

Coach / Teacher Signature: _________________________________________________________________