Fort Worth Regional Science And Engineering Fair Checklist Form Page 3

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Fort Worth Regional Science Fair Entry Form
Remember: All Required forms must be filled out completely using all capital letters in ink.
Entries not following these instructions will be disqualified for first place in any category.
Select from the following
AS
Animal Sciences
Division
BS
Behavioral & Social Science
Category
BI
Biochemistry
Division I: Grade: 9, 10, 11, 12
CM
Cellular & Molecular Biology
CH
Chemistry
CS
Computer Science
Division II: Grade 6, 7, 8
EP
Earth & Planetary Science
Paperwork OK
EN
Eng: Electrical & Mechanical
MB
Eng: Materials & Bioengineering
ET
Energy & Transportation
Project
Approved
EM
Environmental Management
Individual
Team
ES
Environmental Science
MA
Mathematical Science
MH
Medicine & Health
Registration Date: _____________________
MI
Microbiology
PA
Physics & Astronomy
PS
Plant Sciences
Name: ___________________________________ ______ ________________________________
First Name
MI
Last Name
Select from the following
Gender:
Male
Female
Ethnicity
AIA
American Indian
ASP
Asian Pacific
BLK
Black
Phone Number: ______________________
HSP
Hispanic
WHT
White
____________________
OTH
Other
Email Address:
Street Address: ____________________________________________________________________
City: ___________________________________ Zip: _______________
Grade: __________________
School: __________________________________________________________________________
Teacher Name: _____________________________ _____ ________________________________
First Name
MI
Last Name
Teacher’s Email: ___________________________; Phone Number:__________________________
Exhibit Title:
_________________________________________________________________________________
_________________________________________________________________________________

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