Download St. James Parish Schools

ST. JAMES PARISH SCIENCE AND ENGINEERING FAIR
JR. / SR. DIVISION
ENTRY FORM
Circle One: INDIVIDUAL / TEAM
Please type or print all information.
Name(s)________________________________
Grade__________
Home Address_________________________
City_______________________
Division:
________Senior (Grades 9-12)
Category:
Check One
___Animal Sciences
___Cellular and Molecular Biology
___Earth & Planetary Science
___Energy and Transportation
___Mathematical Sciences
___Physics and Astronomy
Phone_________________
Zip_______
_______Junior (Grades 6-8)
___Behavioral & Social Sciences
___Chemistry
___Engineering: Electrical & Mechanical
___Environmental Management
___Medicine & Health Sciences
___Plant Sciences
___Biochemistry
___Computer Science
___ Engineering: Materials & Bioengineering
___Environmental Sciences
___Microbiology
Title of Exhibit______________________________________________________________________
Description of Project_________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Exhibit Size and Weight: (Maximum: Width-48”; Depth-30”; Height-108” Weight-100 pounds)
Width_______inches
Depth_____inches
Free-Standing Project: ___Yes
___No
Height________inches
Electricity Needed:
Were live vertebrate animals or humans used? ___Yes
Certifications must be attached to the entry form.
___Yes
Weight_________pounds
___No
___No. If yes, COPIES of Protocols and
I AGREE TO ABIDE BY ALL WRITTEN AND/OR VERBAL RULES, REGULATIONS, AND INSTRUCTIONS
GIVEN BY THE FAIR DIRECTOR AND REALIZE THAT MY PROJECT MAY BE RULED INELIGIBLE FOR
COMPETITION, AND/OR INELIGIBLE TO RECEIVE AWARD(S), AND/OR AWARD(S) REVOKED IF I DO NOT
COMPLY.
I CERTIFY THAT THIS PROJECT WAS MY WORK ALONE. I AGREE TO REGISTER AND SET UP MY PROJECT
THE DAY BEFORE THE SCIENCE FAIR AND REMOVE MY PROJECT THE DAY OF THE FAIR AFTER
JUDGING.
EXHIBITOR’S SIGNATURE___________________________________________________________
I CERTIFY THAT THE ABOVE NAME STUDENT DID THIS PROJECT UNDER MY SUPERVISION OR AS NOTED
ON THE ATTACHED CERTIFICATIONS REQUIRED FOR VERTEBRATE OR HUMAN RESEARCH.
TEACHER’S SIGNATURE_____________________________________________________________
Send a copy of entry form (1A) Research Plan Form, (1B) Approval Form, ISEF Abstract Form and any
additional mandatory forms as applicable to the project on or before Friday, January 9, 2015 to:
St. James Parish Science and Engineering Fair
St. James Parish School Board Office
Attention: Renee’ Hartley
P. O. Box 338, Lutcher, LA 70071
2014-15
Note: Teacher keeps all original forms on file.
ST. JAMES PARISH SCIENCE FAIR
ELEMENTARY DIVISION
GRADES 1-5
ENTRY FORM
Circle One: INDIVIDUAL / TEAM
PLEASE PRINT
NAME (s)_____________________________________________ GRADE_________________________
SCHOOL___________________________________________
AGE________________________
SCHOOL MAILING ADDRESS___________________________________________________________
TEACHER’S NAME____________________________________________________________________
TITLE OF PROJECT____________________________________________________________________
BRIEF DESCRIPTION OF PROJECT______________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
APPROXIMATE SIZE OF EXHIBIT:
FRONT TO BACK_________________INCHES
MAX. 30 INCHES
SIDE TO SIDE_________________INCHES
MAX. 48 INCHES
HEIGHT_________________INCHES
MAX. 108 INCHES
WEIGHT_________________POUNDS
MAX. 100 POUNDS
ELECTRICITY REQUIRED:

_____
YES
_____
NO

I AGREE TO ABIDE BY ALL WRITTEN AND/OR VERBAL RULES, REGULATIONS, AND
INSTRUCTIONS GIVEN BY THE FAIR DIRECTOR AND REALIZE THAT MY PROJECT MAY BE
RULED INELIGIBLE FOR COMPETITION, AND/OR INELIGIBLE TO RECEIVE AWARD(S),
AND/OR AWARD(S) REVOKED IF I DO NOT COMPLY.
I AGREE TO REMOVE MY PROJECT IMMEDIATELY AFTER JUDGING THE DAY OF FAIR.


Forms are due to district office by or before Friday, January 9, 2015.
1 copy of student’s abstract(description of project) must accompany this entry form.
St. James Parish Science and Engineering Fair/St. James Parish School Board Office
Attention: Renee’ Hartley
P. O. Box 338, Lutcher, LA 70071
_______________________________________
EXHIBITOR’S SIGNATURE(s)
2014-15
______________________________________
TEACHER’S SIGNATURE
Note: Teacher keeps all original forms on file.