Approval Form (1b)

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Approval Form (1B)
A completed form is required for each student, including all team members.
1. To be completed by Student and Parent
a) Student Acknowledgment:
I understand the risks and possible dangers to me/my child of the proposed research plan.
I have read the MSSEF/ISEF Rules and Guidelines and will adhere to all State and International Rules when
conducting this research.
I have read and will abide by the following Ethics Statement and the MSSEF Ethics Statement on
Scientific fraud and misconduct are not condoned at any level of research or competition. Such practices include but
are not limited to plagiarism, forgery, use or presentation of other researcher’s work as one’s own, and fabrication of
data. Fraudulent projects will fail to qualify for competition in affiliated fairs and the Intel ISEF.
_____________________________________ ___________________________________
_____________________________
Student’s Printed Name
Signature
Date Acknowledged (mm/dd/yy)
(Must be prior to experimentation.)
b) Parent/Guardian Approval:
I have read and understand the risks and possible dangers involved in the Research
Plan. I consent to my child participating in this research.
_____________________________________ ___________________________________
_____________________________
Parent/Guardian’s Printed Name
Signature
Date Acknowledged (mm/dd/yy)
(Must be prior to experimentation.)
2. To Be Completed by Fair SRC.
(
Required for projects requiring prior Regional or State SRC APPROVAL.)
a)
Required for projects that need prior SRC
approval BEFORE experimentation
The SRC has carefully studied this project’s Research
Plan and all the required forms are included. My
signature indicates approval of the Research Plan before
the student begins experimentation.
_______________________________________________________
SRC Chair’s Printed Name
___________________________ __________________________
Signature
Date of Approval (mm/dd/yy)
(Must be prior to experimentation.)
Region: ¨ I ¨ II ¨ III ¨ IV ¨ V ¨ VI
State: ¨
3. Final ISEF Affiliated Fair SRC Approval.
SRC Approval After Experimentation and Shortly Before Competition at Regional/State Fair
I certify that this project adheres to the approved Research Plan and complies with all MSSEF/ISEF Rules.
________________________________________
_________________________________
__________________________
Regional SRC Chair’s Printed Name
Signature
Date of Approval
________________________________________
_________________________________
__________________________
State SRC Chair’s Printed Name
Signature
Date of Approval
(where applicable)
MSSEF/ISEF Forms 2016/2017
Full text of all rules and copies of forms are available at

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