Nexus Technology Cup Application

Nexus Technology Cup Application

Thank you for your interest in the Nexus Technology Cup. Please complete all sections carefully and thoroughly, as your responses will be used to evaluate your eligibility and fit for the competition. Your progress is automatically saved, so you can return at any time using the same link and account, but your application is not officially submitted until you click the final Submit button.
Applicant Details

The person who is applying is considered the Team Lead and will serve as the primary point of contact for correspondence.
Name

First NameLast Name
Email
example@example.com
Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Role
Which track are you applying to?
Do you need assistance with identifying a faculty advisor?
Faculty Advisor Name
Type N/A if you need assistance identifying a faculty advisor.
Faculty Advisor Email
example@example.com
Name of University
Name of Product
Name of High School
Project Name
Company or Product Name
Website URL (If applicable)
Social Media Handles
List company/product handles that you would like us to tag, including LinkedIn, Instagram, X, and Facebook.
Product/Project Overview

Provide detailed information about your innovation, which explains the novelty of the innovation, the difficulty of development, and the potential impact. This information will be used to qualify applications that advance to the semi-finals.
What problem are you trying to solve? Please describe.
What makes your product innovative? Please describe your solution.
Who is your target customer or user?
Please include a shareable video link of the team explaining the product/prototype.
Photo/Screenshots of Prototype (high-resolution)

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Is this product patented?
What is the actual or estimated cost to build ($0-$1M)
What is the estimated time needed to build?
Team Photo (Photo will be used to announce finalists.)

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Demographic Data

Used for aggregated reporting purposes only.
Team Lead City
Team Lead State
Team Lead Parish
Team Lead Hometown (City, ST)
List the country if outside of the U.S.
Team Lead Age Range
Team Lead Gender
Team Lead Race & Ethnicity
Team Lead Social Media Handles
List handles that you would like for us to tag including LinkedIn, Instagram, X and Facebook.
How many people are on your team? Limit 4.
2nd Team Member
Team Member 2 Name

First NameLast Name
Team Member 2 Role
Team Member 2 Email Address
example@example.com
Team Member 2 Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Team Member 2 City
Team Member 2 State
Team Member 2 Parish
Team Member 2 Hometown (City, ST)
List the country if outside of the U.S.
Team Member 2 Age Range
Team Member 2 Gender
Team Member 2 Race & Ethnicity
Team Member 2 Social Media Handles
List handles that you would like us to tag, including LinkedIn, Instagram, X, and Facebook.
3rd Team Member
Team Member 3 Name

First NameLast Name
Team Member 3 Role
Team Member 3 Email Address
example@example.com
Team Member 3 Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Team Member 3 City
Team Member 3 State
Team Member 3 Parish
Team Member 3 Hometown (City, ST)
List the country if outside of the U.S.
Team Member 3 Age Range
Team Member 3 Gender
Team Member 3 Race & Ethnicity
Team Member 3 Social Media Handles
List handles that you would like us to tag, including LinkedIn, Instagram, X, and Facebook.
4th Team Member
Team Member 4 Name

First NameLast Name
Team Member 4 Role
Team Member 4 Email Address
example@example.com
Team Member 4 Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Team Member 4 City
Team Member 4 State
Team Member 4 Parish
Team Member 4 Hometown (City, ST)
List the country if outside of the U.S.
Team Member 4 Age Range
Team Member 4 Gender
Team Member 4 Race & Ethnicity
Team Membr 4 Social Media Handles
List handles that you would like us to tag, including LinkedIn, Instagram, X, and Facebook.
Agreements

Please review prior to submitting.
I certify that all work submitted in this application is original and solely the product of our team.
Communications: I agree to receive communications from Nexus Louisiana regarding programs, events, and updates. You may unsubscribe at any time.
Media Release: I grant Nexus Louisiana permission to photograph and record me during the Nexus Technology Cup and to use my image or likeness for marketing and promotional purposes, including on social media, in website content, and in print materials, without compensation. All content captured is the property of Nexus Louisiana.
Equal Opportunity Statement
Nexus Louisiana is committed to an inclusive and equitable application process and does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, sexual orientation, or any other protected characteristic.

Privacy Policy
Nexus Louisiana is committed to protecting your privacy and will only use the information you provide to administer the Nexus Technology Cup application process. Your information will never be shared with or sold to third parties.
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Nexus Technology Cup Application

Applicant Details

Product/Project Overview

Demographic Data

2nd Team Member

3rd Team Member

4th Team Member

Agreements