2017-18 Regional entry FORM (Please complete entry form by printing legibly or by using Acrobat) Today’s date: Team Project? Yes No INFORMATION / Last name: First name: School: Teacher: Student Grade: Home phone #: Email: Title of Limit title to 65 characters. project: Team member #2 Information Name: Student Grade: Home #: Email: Team member #3 Information Name: Student Grade: Home #: Email: FOLLOWING? & Human Subjects Pathogenic (Biological) Agents Recombinant DNA Non-Human Vertebrates Microorganisms Human or Animal Tissue Earth & Environmental Science Animal Sciences (ANIM) Mathematics (MATH) (EAEV) Behavioral & Social Embedded Systems (EBED) Microbiology (MCRO) Sciences (BEHA) Biochemistry (BCHM) Energy: Chemical (EGCH) Physics & Astronomy (PHYS) Biomedical & Health Energy: Physical (EGPH) Plant Sciences (PLNT) Sciences (BMED) Cellular & Molecular Robotics & Intelligent Engineering Mechanics (ENMC) Biology (CELL) Machines (ROBO) Environmental Engineering Chemistry (CHEM) Systems Software (SOFT) (ENEV) Computational Biology Translation Medical Science Materials Science (MATS) & Bioinformatics (CBIO) (TMED) ELEMENTARY Parent’s Email:
2017-18 Regional entry FORM (Please complete entry form by printing legibly or by using Acrobat) Today’s date: Team Project? Yes No INFORMATION / Last name: First name: School: Teacher: Grade: Home phone #: Student Email: Title of project: Limit title to 65 characters. Team member #2 Information Name: Grade: Home #: Student Email: Team member #3 Information Name: Grade: Home #: Student Email: FOLLOWING? & Human Subjects Pathogenic (Biological) Agents Recombinant DNA Non-Human Vertebrates Microorganisms Human or Animal Tissue Animal Sciences (ANIM) Earth & Environmental Science (EAEV) Mathematics (MATH) Behavioral & Social Sciences (BEHA) Embedded Systems (EBED) Microbiology (MCRO) Biochemistry (BCHM) Energy: Chemical (EGCH) Physics & Astronomy (PHYS) Biomedical & Health Sciences (BMED) Energy: Physical (EGPH) Plant Sciences (PLNT) Cellular & Molecular Biology (CELL) Engineering Mechanics (ENMC) Robotics & Intelligent Machines (ROBO) Chemistry (CHEM) Environmental Engineering (ENEV) Systems Software (SOFT) Computational Biology & Bioinformatics (CBIO) Materials Science (MATS) Translation Medical Science (TMED) ELEMENTARY Parent’s Email:
Regional-Science-Fair-Entry-Form-2017-18.docx