Intent To Invent Letter Sample

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Intent to Invent
Date__________________
Student Inventor ____________________________________________________________
(Last name)
(First name)
Grade Level ___________ Teacher(s) ____________________________________________
School ____________________________ School Telephone__________________________
City ______________________ State ______________________ ZIP________________
I, _______________________________, intend to invent____________________________
__________________________________________________________________________
A brief description: __________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
I have determined to the best of my ability that my
invention will be original by taking the following steps.
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
I will be using the following materials in my invention.
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
I will practice science safety rules at all times.
________________________________________________________________
Student’s signature

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