Partnership Form

Client Name

Company Name

Phone Number

Email

Street

City

State

Zip Code

Tentative Project Title

Preliminary StatusThis is a new requestWe have already contacted a faculty/student

Student/Faculty Name

Field(s) of Expertise Biology Biomedical Engineering Civil Engineering Computer Engineering Computer Science Electrical Engineering Engineering Design Engineering Physics Environmental Engineering Mechanical Engineering Optical Engineering Physics Software Engineering Multidisciplinary Capstone Other Ctrl + Click for multiple selections

Project Description

Attachment

Citizenship RequirementNoneU.S. Citizenship Required

Acknowledgement by SponsorI have read and understand the Key Information for Potential Sponsors and the Acknowledgment by Sponsor listed below:

• I understand that Rose-Hulman cannot guarantee project selection.
• If my project is selected, I will commit to communicate and provide feedback to the student project team in timely manner.

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