^{SURCA 2023} _{Division of Academic Engagement and Student Achievement}

Sign Up to Judge at SURCA

Priority sign-up date for judges: Wednesday, March 8, 2023.

Note: Required fields are marked by a red asterisk symbol (*) and faint red highlighting. Please contact our web coordinator if you encounter any problems with this application form so we can provide you with further assistance.

"*" indicates required fields

About You

Your name*

First Last

Job title*

Organization -or- WSU college, department*

Contact Details

Email*

Enter Email Confirm Email

Phone number*

Address*

Street Address Address Line 2 City State ZIP Code

Judging at SURCA

Judging category first choice*

For more information on each category, check the presentation categories page.

Judging category second choice*

Students presenting at SURCA

If applicable, please list any students you are mentoring that are presenting at SURCA. (List one per row; click/tap the (+) symbol to add additional rows.)

Name

This field is for validation purposes and should be left unchanged.