Step 1: Contact Form

Please complete the following information, then click submit to continue to the next step to upload your video. Before completion of this form, please read the Official Rules and the Video Upload Terms.

	First Name
	Last Name
	Phone Number
	Email Address
	Mailing Address
	City
	State
	Zip Code
	Birthdate (mm-dd-yyyy)
	Name/Title of Video
	College or University Name
	Name of Major or Program
	Undergraduate or Graduate Student
	Yes, I've read & agree to the Official Rules.*
	Yes, I've read & agree to the Video Upload Terms.*
	*These documents can be accessed by clicking the links in the instructions at the top of the page.

= required information

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