Video/Essay Contest Submission

By completing this form and submitting an essay with bibliography, I am entering the Engineering Grand Challenges Video/Essay Contest sponsored by Duke University. I certify that I have read and agree to abide by the Contest Rules and Submission Agreement.

Applicant Name: *

Please enter the full name of the individual or team leader entering the video/essay contest.

Applicant Email: *

Enter your full email address.

College attending: *

Please enter the full name of the college, university or community college you are CURRENTLY attending. You must be pursuing an associate, bachelor, master or doctoral program to be eligible to compete in the video/essay contest.

Phone Number: *

Please enter your 10 digit phone number (XXX-XXX-XXXX).

Postal Address: *

Please enter your complete postal address, including street location, city, state and zip code.

Is this submission a team effort?: *

If applicable, list team members::

Please enter the complete name of EACH team member AND his/her college/university/community college.

YouTube Video URL: *

Please enter the URL for your YouTube video. Remember to tag is "engineeringchallenge">.

Essay and bibliography: *

Please paste the text of your essay and bibliography here.

Summit Series on the National Academy of Engineering Grand Challenges

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