VITALS
First Name    Last Name   
Age                         Gender   

CONTACT INFO
Address:    Phone:
Address 2:    Email:
City:         State:         ZIP:    Confirm Email:
State or International Province:         Country:

School Name (please do not abbreviate):   
Major:   
Year:   

How did you hear about this contest?          

ELIGIBILITY
Y        N   Do you or any of your immediate family (siblings, parents or children) work for MTV Networks on Campus Inc, Viacom International Inc, affiliated companies, subsidiaries, advertising agencies or any and all sponsors?

Y        N   Have you won an mtvU National Contest in the 2006 calendar year?

SWEEPSTAKES OPPORTUNITY
Yes, I want to be entered in the sweepstakes to win a Zune.

I acknowledge and agree that I have read and accepted the Official Rules.

I acknowledge and agree that I have read and accepted the Privacy Policy and Terms of Use

Yes, I want to receive mtvU’s free online newsletter, The Procrastinator, to find out about upcoming events, music news, casting calls, contests, giveaways and lots more.

Yes, I want to receive weekly Fresh Produce / Student Short clips, mtvU’s roundup of the best student-produced video.

Yes, I would like to hear about special offers and giveaways from mtvU from mtvU partners and sponsors.