FROM (school): ________________________________________________
PROTOTYPE NAME: ________________________________________________
TEAM MEMBER INFORMATION:
NAME: ________________________________________________
ASME MEMBER #: ________________________________________________
SS#: ________________________________________________
NAME: ________________________________________________
ASME MEMBER #: ________________________________________________
SS#: ________________________________________________
NAME: ________________________________________________
ASME MEMBER #: ________________________________________________
SS#: ________________________________________________
NAME: ________________________________________________
ASME MEMBER #: ________________________________________________
SS#: ________________________________________________
APPROVED BY: ________________________________________________
(faculty advisor or dept. head)
Bring this form to the Regional Student Conference (RSC).