Arkansas Junior Academy of Science

2008 State Contest
Presenting Student Entry Form

 

 

 

AJAS State Science Contest will be held April 5, 2008 in the Math & Computer Science Building at UCA.
The competition begins at 9:00 AM.

Please read the State Contest Rules before completing this form.
To submit your entry: 

1.  Complete and mail the registration form below to:  Dr. Nolan Carter, University of Central Arkansas, Department of Chemistry, Laney Hall, Conway, AR  72035  (Deadline: March 21, 2008).  Include a check for $12.00 payable to Arkansas Junior Academy of Science. 

2.  Send an electronic copy (Word document) of your abstract to ncarter@uca.edu.  Alternatively, a CD with an electronic copy of the abstract may be included with your registration form.

 

Student Name: (last, first, MI) ____________________________, _________________________ , ___

 

Grade level:_____

Home Address: __________________________________________________________

City:_______________________________________ Zip Code:_____________

Home Phone: _____________________   e-mail ________________________

Title of Paper:

Abstract:   (submitted with payment or e-mailed to NCarter@UCA.edu)

Category of Entry:__________________________________________See State Contest Rules. 

Region:  ______________________________________

Place:    ____1st ____2nd ____3rd   

Teacher Sponsor: __________________________________________

School Name: ______________________________________________

School Address: _______________________________________________________

Mark each of the following statements which applies:
____This research involved vertebrate animals (excluding humans).
____This research involved human subjects.
____This research used human or animal tissue or cells.
____This research used pathogenic agents.
____This research used controlled substances.
____This research used recombinant DNA.

 

 

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