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

Scientiﬁ c fraud and misconduct are not condoned at any level of research or competition. Such practices include

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 aﬃ liated 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 the local or aﬃ liated Fair SRC

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

a) Required for projects that need prior SRC/IRB

b) Required for research conducted at all Regulated

approval BEFORE experimentation

Research Institutions with no prior fair SRC/IRB

(humans, vertebrates or potentially hazardous

approval.

biological agents)

This project was conducted at a regulated research

institution (not home or high school, etc.), was

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

reviewed and approved by the proper institutional

Plan and all the required forms are included. My

board before experimentation and complies with the

signature indicates approval of the Research Plan before

Intel ISEF Rules. Attach (1C) and required institutional

the student begins experimentation.

approvals (e.g. IACUC, IRB).

SRC/IRB Chair’s Printed Name

SRC Chair’s Printed Name

yy)

Signature

Date of Approval (mm/dd/

Signature

Date of Approval (mm/dd/yy)

(Must be prior to experimentation.)

3. Final Intel ISEF Aﬃ liated 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 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)

International Rules: Guidelines for Science and Engineering Fairs 2014–2015,

Page 31

Approval Form (1b)

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