Future Technology Leader Nomination

Nominee(s)

School & Grade

Parent(s) Name

Parent(s) email

Parent(s) Phone

Teacher/Building Administrator Information (if applicable)

Name

Email

Phone

Project Advisor Information (if applicable)

Name

Email

Phone

Your Information

Name

Email

Phone

Project Name & Description

In 500 words or less, please explain the following:

• Why is this project innovative?

• What leadership role did the student(s) play?

• Describe the potential real-life application of the project.

• What technology or technical skills were employed in the completion of this project?

Photos, video, and audio will be accepted but are not required.*

*Any submitted materials will not be returned. Acceptable file types are: .jpg, .gif, .doc, and .xls. Maximum size is 2MB. Larger files and other file types may be submitted via email to alewis@gwata.org.

Future Technology Leader Nomination

Teacher/Building Administrator Information (if applicable)

Project Advisor Information (if applicable)

Your Information

In 500 words or less, please explain the following:

Photos, video, and audio will be accepted but are not required.*

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