Your new Sponsored Awards, Step 2/2: Registration

First Name
Last Name
Title
Organization
Street Address
City
State
Zip Code
Work Phone
	(We will assume area code 319 if you don't specify.)
FAX
E-mail
Web Site

Quantity of Awards in the first category:

Category: — Select category — Outstanding Achievement Meritorious Achievement First Place Second Place Third Place Honorable Mention Junior Division Senior Division Team

Recipient: — Select recipient — Any Project Teacher Senior Project (Grades 9–12) Junior Project (Grades 6–8) 12th Grade Project 11th Grade Project 10th Grade Project 9th Grade Project 8th Grade Project 7th Grade Project 6th Grade Project

Cash prize:

What other prizes will you provide to your winner through the EISEF?  (Check all that apply.)

certificate	backpack	calculator	day planner	trophy
medallion	one-year membership	pin	t-shirt	other

Other Prize (specify):

Comments about Award #1:

Quantity of Awards in the second category:

Category: — Select category — Outstanding Achievement Meritorious Achievement First Place Second Place Third Place Honorable Mention Junior Division Senior Division Team

Recipient: — Select recipient — Any Project Teacher Senior Project (Grades 9–12) Junior Project (Grades 6–8) 12th Grade Project 11th Grade Project 10th Grade Project 9th Grade Project 8th Grade Project 7th Grade Project 6th Grade Project

Cash prize:

What other prizes will you provide to your winner through the EISEF?  (Check all that apply.)

certificate	backpack	calculator	day planner	trophy
medallion	one-year membership	pin	t-shirt	other

Other Prize (specify):

Comments about Award #2:

Quantity of Awards in the third category:

Category: — Select category — Outstanding Achievement Meritorious Achievement First Place Second Place Third Place Honorable Mention Junior Division Senior Division Team

Recipient: — Select recipient — Any Project Teacher Senior Project (Grades 9–12) Junior Project (Grades 6–8) 12th Grade Project 11th Grade Project 10th Grade Project 9th Grade Project 8th Grade Project 7th Grade Project 6th Grade Project

Cash prize:  

What other prizes will you provide to your winner through the EISEF?  (Check all that apply.)

certificate	backpack	calculator	day planner	trophy
medallion	one-year membership	pin	t-shirt	other

Other Prize (specify):

Comments about Award #3:

(Did you proofread your typing?)