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-.LunaRecycle Challenge Expression of Interest Form
Contact Person/Team Lead Name
(Required)
First
Last
Email
(Required)
Team Name
Organization
City
(Required)
State/Province/Territory
(Required)
Country
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Technology Description
(Required)
As applicable, please describe the technology you propose:
Relevant Expertise
(Required)
Provide a brief summary of your individual or entities' experience and qualifications.
Entity affiliation
(Required)
Are any members of your team an entity, such as a corporation, academic institution, or non-governmental organization, or acting on behalf of such an entity?
No, we are all unaffiliated individuals.
Yes, one or more Team members is an entity or is affiliated with an entity.
As applicable, please list your entity affiliations.
Federal Government association
(Required)
Are you or any members of your group Federal employees, Federal entities, or an organization principally or substantially funded by the Federal Government?
No
Yes
As applicable, please describe your government association.
Foreign Nationals
(Required)
Are any members of your group foreign nationals or entities? Some additional eligibility verification will be required.
All team members are U.S. citizens or permanent residents.
Our team contains one or more foreign nationals.
As applicable, please describe the foreign citizenry of your group.
Communications Consent
(Required)
You agree to receive periodic updates about the Challenge. You can unsubscribe at any time.
I understand and authorize.
