2022 ACI Concrete Solutions Competition

Spring 2022 Virtual Competition

OFFICIAL INFORMATION FORM
Conducted by ACI Committee S801, Student Activities Committee

This form is to be submitted digitally by 11:59 p.m. ET on March 6, 2022. See rules for details/information

Entry ID Marking
Name of School Universidad San Francisco de Quito
(5 characters of your choice)
Faculty Advisor Milagros Jimenez U S F Q 1

*ID must not be crude. It MUST

appear on the specimen and match
Student Team (limited to 8 students). Names of Students: that submitted in team registration.
(Please type or print CLEARLY)

Name Phone Email

Student 1: Pablo Monge Zambrano 099 6543 204 p a m o n g e @ e s t u d . u s f q. e d u . e c

Student 2: Ariel Mosquera 099 9741 727 aamosquera@estud.usfq.edu.ec

Student 3: Habib Saud 099 5375 548 habibsaudg@gmail.com

Student 4: Santiago Reina Dávila 098 5313 995 Sreina@estud.usfq.edu.ec

Student 5: Daniel Cartuche 098 433 1468 Jdcartuche@estud.usfq.edu.ec

Student 6: Mateo Salazar 0959572793 masalazar@estud.usfq.edu.ec

Student 7: Oscar Sanchez 099 254 7031 0992547031 osanchezm@estud.usfq.edu.ec

Student 8:
TO BE SIGNED BY THE STUDENT TEAM:
With the following signatures (REQUIRED), the applicants indicate their intent to read the contest rules and follow them or to withdraw from the contest prior to the
scheduled start of testing.

1. 5.

2. 6.

3. 7.

4. 8.

TO BE SIGNED BY THE FACULTY ADVISOR:

To the best of my knowledge, this information is correct. The students have adhered to the official rules of the contest, the specimens have been made and are in
compliance with the rules.

Signature Date