Entry Form

Submit by March 14th, 2011 No Late Entries Accepted No.______
Kansas State Science and Engineering Fair Exploration Place Wichita, Kansas
April 1-2, 2011 Entrance fee $10.00 per person. Please submit payment with each entry form or the day of registration. Dr. Steve Yuza NCCC 800 W 14th Street Chanute, KS 66720 FAX# 620-431-0082 All entries must review the ISEF Rules and Forms Links identified on the KSSEF website.
Name of exhibitor Grade Age Gender Male: Female T-Shirts are available for an additional cost of $10 for YS-L and $12 for XL and XXL T-Shirt Size YS YM YL S M L XL XXL Team Members Name Team Members Name Team Members Name Team Name All team members must complete an application to be eligible for any awards. All members of a team must pay the registration fee to be eligible for any awards. Address City Zip Phone TITLE OF EXHIBIT Place a check in the boxes which represent your project. DIVISION: Division I (9-12) Division II (4-8) Place a check in the box if you are interested in the Kansas BioGENEius Challenge PLEASE Check box if an electric outlet is needed for project set-up: AREA: Botany Zoology Earth/Space Science Physics Chemistry Biochemistry, Medicine & Health Mathematics & Computer Science Environmental Science Social Science/Behavioral Consumer ScienceEngineering & Inventions Name of School School Info IF a high school participant, is your school: Public Public (With Magnet Program) Private/Charter Home Schooled Address of School Principal's name School Phone # Teacher's name Teacher's email If faxing or mailing this application, please attach a brief description of your project (typed or printed) on the back of this application. This MUST BE FILLED OUT or the project will be disqualified. PARENTAL APPROVAL: I certify that to the best of my knowledge, this exhibit was essentially completed by and is largely the work of the student named above, and I give my approval for its showing at the Kansas Science and Engineering Fair. I also understand that NO project can be removed until after the awards ceremony. NO EXCEPTIONS. I have seen and read the rules for the fair. (Get a copy of rules from your teacher.) If the parental approval and the press release boxes are not checked the entry form cannot be submitted. Parent These boxes must be checked: Parental Approval: Press Release: KSEF PROJECT Project Title: Question (Why did you conduct the experiment? What did you hope to learn?) Hypothesis (What did you think would happen?) Procedure Materials Needed: