1119 Mesa Visa Hall
MSC06 3800
1-University of New Mexico
Albuquerque, NM 87120
Phone: (505) 277-6343
Fax: (505) 277-0033
E-mail: sidekicks@unm.edu

Points Submission

Team Name:
Date of Event:
Event Name:
Event Representative's Name:
Event Representative's Contact Info (Email or Phone No.):
Points Offered: Points Requested:

Mentor Present:

No. of Hours:
Mentee Present: No. of Hours:
Mentee 2 Present (if applicable): No. of Hours:
Mentor Initials:
Mentee Initials:
Mentee 2 Initials (if applicable):