2015 Tibetan Innovation Challenge Partner University Tracking Form Partner University Information Institution Contact Person Contact Position Contact Email Contact Phone Internal Competition Information Virtual or Full Competition? Competition Deadline Number of Applications Received Names and Contact Info of All Participating Teams Please complete the provided Excel spreadsheet (worksheet tab 1, “Teams”) with the names of all participating teams and all participating students in each team, including contact information Name of Winning Team Please indicate the winning team and team members in worksheet tab 1, “Teams,” column I Name of Alternate Team Please indicate the alternate team and team members in worksheet tab 1, “Teams,” column J Prize Awarded to Winning Team $ Amount of Sponsorship Raised Names of Sponsors and Sponsorship Please complete the provided Excel spreadsheet (worksheet tab 2, “Sponsors”) with the names of Levels all sponsors and amount or in-kind donation(s) Number of Judges Names and Positions of Judges Please complete the provided Excel spreadsheet (worksheet tab 3, “Judges”) with the names of all judges, positions, companies, and contact information Certification I certify that the information contained in this form, to the best of my knowledge, is true and correct. Name Electronic Signature Date
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