Magellan Award Form — NExT Region Destination Imagination

Nominee's Name

First Name

Last Name

Nominee's Phone #

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Nominee's Email Address

Current (or most recent) Team Manager

First Name

Last Name

Team Manager Phone #

Team Manager Email

Team Manager's Phone Number

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Nomination Submitted By:

First Name

Last Name

Phone

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Email Address of Person Submitting Form:

Checkbox

I certify that the challenge history information below is correct.

What Technical Challenge did you solve? (most recent, only please)

List the Challenge Name/Year/School. Example On Target/2019/Airline High School

What Scientific Challenge did you solve? (most recent, only please)

List the Challenge Name/Year/School. Example Medical Mystery/2019/Airline High School

What Fine Arts Challenge did you solve? (most recent, only please)

List the Challenge Name/Year/School. Example Game On/2019/Airline High School

What Improvisational Challenge did you solve? (most recent, only please)

List the Challenge Name/Year/School. Example Head's Up/2019/Airline High School

What Engineering/Structure Challenge did you solve? (most recent, only please)

List the Challenge Name/Year/School. Example Monster Effects/2019/Airline High School

What Service Learning/Project Outreach challenge did you solve? (most recent, only please)

List the Challenge Name/Year/School. Example: Escape Artists/2019/Airline High School

(OPTIONAL) What Rising Star Challenge did you solve? (most recent, only please)

List the Challenge Name/Year/School. Example: Big Bug's Bad Day/2010/Airline High School

(OPTIONAL) What Texas Xtreme Challenge did your team solve?

List the Challenge Name/Year/School. Example: FISH/2019/Airline High School