Congressional App Challenge Student Sign-Up Form

This form is the student sign-up for the 2015 Congressional App Challenge.

Filling out this form indicates that you are interested in participating in the 2015 Congressional App Challenge, to be held from November 9, 2015 - January 21, 2016.

IMPORTANT: This information is required in order to verify your eligibility. All contact information recorded on this form will be held confidentially by the sponsor of this competition, the Internet Education Foundation and the House of Representatives.

Before you complete registration for the 2015 Congressional App Challenge, please confirm that you are 13 years old or older
Required
First Name
Your answer
Last Name
Your answer
E-mail Address
This e-mail address must match the address you used to register on Challenge.gov
Your answer
Home Address: Street (include apt number if applicable)
Ex: 1234 Washington St. Apt. 99
Your answer
Home Address: City
Los Angeles
Your answer
Home Zip Code
Must be 5 digits. Ex: 20001
Your answer
High School Name
Your answer
High School Zip Code
Must be 5 digits. Ex: 20001
Your answer
Name of Member of Congress
Are you registering as an individual or part of a team?
Reminder: You can form a team of up to 4 students. If you are competing in a team: at least two of the students in your team must reside or attend school in the district in which you are competing.
If part of a team, please list your team member's full names (First and Last) below.
(If you are submitting as an individual, you may skip this question)
Your answer
Submit
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