National Innovator Challenge Registration

NIC Registration

This form is to register K-12 innovators for the National Innovator Challenge.

You may register an individual innovator or a team of up to 3 innovators using this form. Note: All teammates must be registered together, using the same registration form.

Before you get started, make sure you have the following information:

* Innovation Information: Type of Innovation (Idea, App, or Prototype), Problem Innovation Solves, How the Innovations Solves the Problem

* Student Information (for all teammates if a team): Student First/Last Name, Grade, State/Territory, Zip Code, Parent Email Address

* Uploads: Logbook/Journal PDF, 6 Slide Presentation, URL for YouTube Video

Note: Prior to completing your payment, you have the opportunity to save your registration form and come back to it later (by pressing "Save and Continue Later" at the bottom of the form).

When you click on "Save and Continue Later' we will emailed you a URL (to the email address you have indicated in the registration form). With this Save URL you can return to the saved registration to complete it later. If you did not receive the email after you click on "Save and Continue Later" check your spam/junkmail or contact: info@innovationworld.org.

Note: Registration forms not completed by the deadline will not be eligible to participate in the NIC.

General Information

First and Last Name of Person Completing Form:(Required)

Person completing this form must be 18 years old or older.

Person Completing Form Is:(Required)

Parent/Guardian

Teacher

Student 18 years old or older who has permission to register any/all students shown on this form

Email Address of Person Completing Form:(Required)

Enter Email Confirm Email

Phone(Required)

How did you hear about the National Innovator Challenge?(Required)

Total Number of Students Representing this Innovation(Required)

Make the appropriate selection based on whether this innovation is represented by an individual innovator or a team of up to 3 innovators. If a team, all team members must be K-12 in order to participate. (note: parents are not teammates, only other students can be teammates).

Student 1

Student1 First and Last Name(Required)

If you indicated above that this is a team you will be offered additional fields to enter all teammates information individually.

U.S. State or Territory of Residence(Required)

Eligible students must reside in the United States or within a U.S. Territory.

Zip Code for Innovator(Required)

Grade Level (or equivalent)(Required)

If you selected to register a team, all members of the team must be a grade K-12 student (or the equivalent) to be eligible to participate.

Parent/Guardian Email Address for Student1(Required)

Enter Email Confirm Email

If Student1 is 18 years old, they may use their own email address if they prefer.

Student 2

Student 2 First and Last Name(Required)

U.S. State or Territory of Residence(Required)

Eligible students must reside in the United States or within a U.S. Territory.

Zip Code for Innovator(Required)

Student 2 Grade Level (or equivalent)(Required)

If you selected to register a team, all members of the team must be a grade K-12 student (or the equivalent) to be eligible to participate.

Parent/Guardian Email Address for Student2(Required)

Enter Email Confirm Email

If Student1 is 18 years old, they may use their own email address if they prefer.

Student 3

Student 3 First and Last Name(Required)

U.S. State or Territory of Residence(Required)

Eligible students must reside in the United States or within a U.S. Territory.

Zip Code for Innovator(Required)

Student 3 Grade Level (or equivalent)(Required)

If you selected to register a team, all members of the team must be a grade K-12 student (or the equivalent) to be eligible to participate.

Parent/Guardian Email Address for Student3(Required)

Enter Email Confirm Email

If Student1 is 18 years old, they may use their own email address if they prefer.

Innovation Information

Category of Project (Select the one that best applies)(Required)

Idea

App

Prototype

Name of Innovation(Required)

The problem your Idea, App, or Prototype solves (50 word limit):(Required)

How your Idea, App, or Prototype solves the problem (100 word limit):(Required)

Upload Logbook/Journal (PDF)(Required)

Max. file size: 1 GB.

Upload the PDF version of your logbook, journal or other detailed record of your work.

Upload Slide Presentation(Required)

Max. file size: 1 GB.

6 slides maximum, detailing your innovation process as well as the specifics of your Idea, App, or Prototype (PDF or PPTx).

Enter Video Link(Required)

Copy and paste the URL of your video, published in YouTube as "public" or "unlisted." Do NOT save your video as "private."

Save or Continue?

If you have not completed this form in its entirety and wish to be able to come back to it later, please press "Save and Continue Later" to the right of the PayPal buttons.

Note: Registration forms not completed by the deadline will not be eligible to participate in the NIC.

If you have completed this form in its entirety, and are ready to finalize your registration with payment, please click the checkbox for CAPTCHA and continue by selecting the appropriate PayPal button.

Registration Fee

Price:

Total for All Students

CAPTCHA

Important Information

Payment is only processed through PayPal if all fields of the NIC registration form are complete.

If you complete your payment through PayPal and the NIC registration form was fully completed you will receive an on-screen thank you, and email from info@innovationworld.org and an email from PayPal confirming your payment. Please check your junk and spam mailboxes if you do not see these messages or write to info@innovationworld.org.

IF, you have attempted to check out through PayPal, and have not completed all required fields of your NIC registration form, you will be bounced back to the registration form. If this happens YOUR PAYMENT HAS NOT BEEN MADE. Once you have completed all fields of the NIC form correctly, click the paypal button again to proceed with your payment. If your registration and payment are successful you will receive an on-screen notification and email from info@innovationworld.org and and email from paypal. Please check your junk mail and spam folders if you believe you should have received these emails and did not or write to: info@innovationworld.org.

Payment Method