1. Name*
2. Over 18?

3. If you are under 18, please supply the name of a parent or guardian and complete the remainder of this box using the parent or guardian's contact information.

   Guardian Name*
   If you are under 18
4. Address*
5. Address 2
6. Town/City*
7. State*
8. Postcode*
9. Phone Number*
10. Email*

Click Here if Nominator is also a Nominee

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1. Story Submission

   Tell your story: Provide a PDF File and/or YouTube link here:

   1. File
      Max 10MB PDF
   2. YouTube Link
      Make sure it is tagged "grandchallengestories"
2. Story Summary

   1. Abstract*
      250 words summarizing your project.
   2. Tagline*
      Up to 140 characters that tell your story.
   3. Keywords*
      Search terms that identify your story. Separate multiple terms with commas.
3. Educational Environment

   This project was launched/incubated in:

   1. Elementary / Middle School
      High School
      College
      Graduate School (specify)
      Professional School (specify)
      Other (specify)
      
4. Public Contact Info

   All nomination stories, abstracts, titles, and tag lines will be made public on the Program web site. Contact information provided above will be kept confidential within the sponsoring organizations and video production team. If you wish to include web site and/or email address (of a person who is at least 18 years old) among the public information regarding your nomination, please include it here.

   1. Public Project Website
   2. Public Contact Email
5. Grand Challenges

   What Grand Challenge problems or themes does your project address? Check all that apply:

   1. Sustainability
   2. Health
   3. Vulnerability
   4. Joy of Living
   5. Make solar energy economical
   6. Provide energy from fusion
   7. Develop carbon sequestration methods
   8. Manage the nitrogen cycle
   9. Provide access to clean water
   10. Restore and improve urban infrastructure
   11. Advance health informatics
   12. Engineer better medicines
   13. Reverse-engineer the brain
   14. Prevent nuclear terror
   15. Secure cyberspace
   16. Enhance virtual reality
   17. Advance personalized learning
   18. Engineering the tools of scientific discovery

1. I have read and understood the complete rules and agree to them.*
2. Even though the Grand Challenge Stories contest deadline has passed, consider my story for future competitions.

Please review the entered information. You will not be able to edit your submission!