First Name Last Name UNH Student ID Number Cell Phone Number Wireless Carrier - Select -VerizonAT&TT-Mobile/SprintU.S. CellularOther UNH Wildcats Email Address Non-UNH Email Swag As a member of the Shaw Innovation Explorers you will be outfitted with swag, including a t-shirt, a sweatshirt, and a jacket! We're still shopping for gear, so please select your preferred unisex size, as well as your preference for a mens style or womens style and size (available for t-shirts and jackets only). Note: Gear will likely be a unisex style, but we want your preferences in case we have options. Please select your size accordingly. Preferred garment cut (Mens or Womens) Clothing will likely be unisex style, but please let us know your preference in the event that we have options for a mens/womens cut. Mens Womens T Shirt Size - Select -XSSMLXLXXLXXXL Jacket Size - Select -XSSMLXLXXLXXXL Sweatshirt Size (Unisex) Please select your size for unisex sweatshirts (not available in Mens/Womens). - Select -XSSMLXLXXLXXXL Shoe size - include gender and size (e.g. M10 or W8.5) Dietary Restrictions & Allergies We want everyone to have plenty to eat during events and outings! List any food allergies and/or any dietary restrictions that we should be aware of when planning events and meals - e.g. gluten free, severe tree nut allergy, vegan, vegetarian, etc. If none, please write "none." If you have a serious food allergy that would require medical attention, please let us know so we can be extra cautious. Other comments? Please share any other information you would like us to know as we plan the Shaw Explorers events and outings. This information will remain confidential to our ECenter staff and used only to facilitate the best possible experience for our Explorers. Instagram Handle Please let us know your Instagram handle so we can tag you in posts. If you don't have IG, please write "N/A" Agreement By participating in the Shaw Explorers Program, I acknowledge that most, if not all, Explorer events will be videoed and photographed with the intent to have edited collections be used publicly to create a summary/documentary and/or promote the program. I agree to the video and photo requirements stated above. I agre to take part in the bi-weekly meetings in both spring and fall semesters. I agree to participate in the required elements of Shaw Explorers I agree to participate in the required events which include Whitewater Rafting kickoff Weekend(accommodations can be made if needed), Field Trips, BU IdeaCon, 3 Day Idea & Innovation Jam, Submission for Maurice Prize, Creating a Startup Tree Profile, Engaging with donors on LinkedIn and Instagram Photo If you have NOT already provided a headshot for the ECenter to use for marketing purposes, please do so below. If you have already provided one, you may disregard this step and submit your form. Thank you! Headshot One file only.2 MB limit.Allowed types: jpg, jpeg, png. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.