Application Request

Please give us a little information about yourself so that we can follow up on your application progress.

You must save the file to your hard drive prior to completing the form.  If you do not save this form to your computer prior to closing, your information will be lost.  Keep in mind that your application and supporting materials for the Collegiate Inventors Competition must be printed out, signed in the appropriate places (electronic signatures will not be accepted), and mailed to

Collegiate Inventors Competition
520 South Main St.
Suite 2423
Akron, OH 44311

You cannot submit your entry online. In addition, we will not accept applications via email or fax.  The .pdf with populated fields is provided as a courtesy for students who do not have access to a typewriter or word processor but would like to submit a typed application. 

First Name:  
Last Name:  
College/University:  
Department:  
Address:  
Address 2:  
City:  
State:  
Zip:  
E-mail:  
Phone:  
I am a:  
     
   
 

 

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