Ssef Entry Form (Page 1) - Ssef Florida Page 2
Download a blank fillable Ssef Entry Form (Page 1) - Ssef Florida in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Ssef Entry Form (Page 1) - Ssef Florida with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
462nd State Science and Engineering Fair of Florida
March 28 – 30, 2017 The Lakeland Center, Lakeland
SSEF ENTRY Form (Page 2)
Step #4: School Information
Regional Science and Engineering Fair:
______________________________________________________________
Full School Name:
________________________________________________________________________________
Mailing Address:
____________________________________________________________, FL ________________
Number and Street
City
Zip+4
Phone #:
_____ - _____ - ________
County: _________________
Public:
Non-Public:
Teacher’s Name REQUIRED: ________________________________________________________________________
Dr., Mr., Mrs., Ms., etc
First Name
Last Name
Teacher’s EMAIL ADDRESS REQUIRED: _____________________________________________________________
Step #5: Signatures (must be originals and use blue ink for signatures)
:
Certification
“I hereby state that this exhibit was prepared during the current school year OR is a continuing study and that it is my own
work. I have read and agree to abide by the rules and regulations of the State Science and Engineering Fair of Florida.”
__________________________________________________________________________________________
Student Registrant’s or Team Leader’s Original Signature
Date
“I hereby certify that this exhibit or continuing study was prepared during the current school year and that it has my consent
as an approved Science and Engineering Fair Project. To the best of my knowledge, it is the student’s own work.”
__________________________________________________________________________________________
Teacher’s Original Signature
Date
“I hereby certify that I have reviewed the questions on the RSEF/FFFS Regional Director’s Checklist and have ascertained
that all materials are present as required. I further declare that the Regional Fair’s SRC/IRB has certified that this project
meets all requirements and regulations of the International Science and Engineering Fair (ISEF) and the State Science and
Engineering Fair (SSEF) of Florida.”
__________________________________________________________________________________________
RSEF Director’s Original Signature
Date
: The following signatures are required for photographs, videotaping, and media interviews.
Release
“For value received and without further considerations, I hereby consent that all photographs and/or video tape images taken
of me and/or recordings made of my voice and/or written extraction, in whole or in part, of such recordings at the State
Science and Engineering Fair of Florida, by the Florida Foundation for Future Scientists (FFFS) or the University of Central
Florida (UCF), may be used by FFFS and UCF and/or others with the consent of the FFFS and UCF for the purpose of
illustration, advertising, or publication in any manner.”
__________________________________________________________________________________________
Student Registrant’s or Team Leader’s Signature
Date
__________________________________________________________________________________________
Parent’s/Guardian’s Signature
Date
Has your Regional Fair selected you to attend the Intel International Science and Engineering Fair
during May? ____________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Education