Fillable Approval Form (1b) printable pdf download

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 of the proposed research plan.

• I have read the Intel ISEF Rules and Guidelines and will adhere to all International Rules when conducting

this research.

• I have read and will abide by the following Ethics statement

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/Project Summary. 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 the local or affiliated Fair SRC

(Required for projects requiring prior SRC/IRB APPROVAL. Sign 2a or 2b as appropriate.)

Required for projects that need prior SRC/IRB approval

Required for research conducted at all Regulated Research

BEFORE experimentation (humans, vertebrates or potentially

Institutions with no prior fair SRC/IRB approval.

hazardous biological agents).

This project was conducted at a regulated research institution

The SRC/IRB has carefully studied this project’s Research Plan/

(not home or high school, etc.), was reviewed and approved

Project Summary and all the required forms are included. My

by the proper institutional board before experimentation and

signature indicates approval of the Research Plan/Project

complies with the Intel ISEF Rules. Attach (1C) and any required

Summary before the student begins experimentation.

institutional approvals (e.g. IACUC, IRB).

SRC/IRB Chair’s Printed Name

SRC Chair’s Printed Name

Signature

Date of Approval (mm/dd/yy)

Signature

Date of Approval (mm/dd/yy)

(Must be prior to experimentation.)

3. Final Intel ISEF Affiliated Fair SRC Approval (Required for ALL Projects)

SRC Approval After Experimentation and Before Competition at Regional/State/National Fair

I certify that this project adheres to the approved Research Plan/Project Summary and complies with all Intel ISEF Rules.

Regional SRC Chair’s Printed Name

Signature

Date of Approval

State/National SRC Chair’s Printed Name

Signature

Date of Approval

(where applicable)

Page 32

International Rules: Guidelines for Science and Engineering Fairs 2017 – 2018,

Approval Form (1b)

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