2020 Anesthesia College Bowl Program Director Agreement, Student Agreement and Question Submission

THE COLLEGE BOWL IS A FAST-PACED GAME WHERE TEAMS PROVIDE VERBAL ANSWERS TO THE QUESTIONS. KEEP IN MIND THAT QUESTIONS WITH LONG OR OVERLY COMPLEX ANSWERS ARE NOT APPROPRIATE.

PLEASE NOTE: ONCE YOU BEGIN THIS SURVEY YOU ARE NOT ABLE TO SAVE AND EXIT.

PROGRAM DIRECTOR AGREEMENT: I understand that in order for my student to participate in the Anesthesia College Bowl I must provide 7 open ended questions. I understand that I may not submit true/false or multiple choice questions.

I understand that as Program Director I am the designated person to contact in all matters relative to the Anesthesia College Bowl Contest. I will be responsible for assuring that all future forms will be submitted in a timely manner and team members are kept abreast of all developments relative to the contest.

Student #1

Name, Credentials and Military Designation (if applicable):

Student Email Address:

Student Phone Number:

Expected Graduation Date:

Format: mm/dd/yyyy

Student #2

Name, Credentials and Military Designation (if applicable):

Student Email Address:

Student Phone Number:

Expected Graduation Date:

Format: mm/dd/yyyy

Program Director Information:

Program Director

Name and Credentials:

Program Name:

Email Address:

Phone Number:

QUESTION 1

CATEGORY

QUESTION:

ANSWER: