2017 Fairfax Area High School Student Shark Tank Technology Challenge Submission Form

2017 Fairfax Area High School Student
Shark Tank Technology Challenge
Submission Form
(Submit by Monday, February 6, 2017)
Please download and save this form. Upon completion, email the submission form to
[email protected].
Individual or Team Names:
Email Address(es):
School Attending:
OR
Home-Schooled
Name of Product (device or app):
Categories that apply to your innovation (check all that apply):
Health & Wellness
Safety
Community Engagement & Lifelong Learning
Caregiving
(1) Provide written Project Summary in the text box on page 2, using Arial Font Size 11, and include
the following:
a. Product description
b. Who it helps and how it helps?
c. What’s special or unique about your product?
d. What inspired you to build it?
e. How was your product tested?
i. How many people tried it?
ii. What were the comments?
iii. How did you document your results?
(Documentation will be needed for Shark Tank.)
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(2) Video Walk-Through of your product: a step-by-step demonstration showing how to use it and
what it can do.
Upload the video to YouTube and provide the link to the video:
(3) Video showing product being used independently by an older adult or family caregiver.
Upload the video to YouTube and provide the link to the video:
Please provide link to software, if possible.
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