Cisco Global Problem Solver Challenge 2021

Team Leader Registration Form

Use this registration form if you are submitting as an individual or are the first person to register for your team. You can invite other team members once you are fully registered. You may change your Team Name and Team Leader at any time after registration.

In order to ensure that you receive emails from the competition, please add cisco-challenge-support@skild.com to your address book.

First Name

Last Name

Company or Team Name

Are you the founder, or a co-founder, of this company/team?

Yes

No

Are you a current student or graduate of an HBCU (in the USA)?

Yes

No

HBCU students or grads only: If you answered 'Yes' above, please choose your school from the menu below.

HBCU students or grads only: If you chose 'Other (not listed above)' Please enter the name of the HBCU. (full name of school, no acronyms)

The following apply to applicants who are students or recent graduates. For this Challenge, recent graduates include those who have graduated after January 1, 2019. If these questions do not apply to you, please enter 'N/A'.

Student Status

Select N/A if not appicable

School Name (full name of school, no acronyms)

Note: 'School' refers to any post-secondary educational institution such as a college, university, vocational school, or other educational facility. Enter N/A if not applicable.

Academic Department

Department name or N/A

School URL

Enter a valid url or N/A

Country where school is located

Select N/A if not applicable.

Graduation Date or Anticipated Graduation Date

(MM/YYYY) or N/A

Country of Residence

Phone Number (include country code)

Email

Create a password

(minimum of 6 characters)

Confirm your password

URL of your personal LinkedIn account

Enter a valid url

If you have a Twitter account you would like to share, provide the @handle.

If you have an Instagram account you would like to share, provide the @handle.

Select your gender

Select the categories that describe you (Select all that apply)

If you answered 'Other' above, you may specify.

I confirm that I am 18 years of age or above.

I agree

Are you a member of the Harambe Entrepreneur Alliance?

Yes

No

Have you taken any Cisco Networking Academy Courses?

Yes

No

I confirm that I have not been awarded a prize in the Cisco Global Problem Solver Challenge or a Cisco prize at the Rice Business Plan Competition. Entrants who entered but did not win are eligible if other qualifications are met.

I Agree

How did you hear about the Cisco Global Problem Solver Challenge?

If you answered 'Other' above, please specify

I am not any of the following:
(1) Employee or internally contracted vendor of Cisco or its parent/subsidiaries, agents and affiliates
(2) The immediate family member or member of the same household of any such employee or vendor
(3) Anyone professionally involved in the development or administration of this contest
(4) Employee or internally contracted vendor of governments and government-affiliated companies or organizations

I Agree

I agree to the Cisco Global Problem Solver Challenge 2021 Terms and Conditions.

I Agree

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