Annual West Panhandle Regional Science and Engineering Fair -- Judges Form

Science and Engineering Fair Judges Application

Please check the boxes that apply to you:

I would like to be a judge on Monday, January 28, 2013.

By submitting this application to be a Science Fair judge, I acknowledge that I will NOT judge in a category in which my child, relative or student is presenting.

My area of expertise is not among the sciences listed below. I prefer to serve with a judging team as an interviewer.

I am already serving as a "Special Awards" judge for

I know of individuals who would be interested in helping as judges or in some other capacity.
Name:       Contact Number:
Name:       Contact Number:

I cannot help this year but would like to remain on the list for next year

I prefer judging (choose one):
Middle School Projects	High School Projects	Either

Please list your top three choices of content area FIRST:
BE Behavioral & Social Sciences	BI Biochemistry
BO Botany	CH Chemistry
CO Computers	EA Earth & Space Science
EN Engineering	EV Environmental Science
MA Mathematics	ME Medicine & Health
MI Microbiology	PH Physics
ZO Zoology

SECOND:
BE Behavioral & Social Sciences	BI Biochemistry
BO Botany	CH Chemistry
CO Computers	EA Earth & Space Science
EN Engineering	EV Environmental Science
MA Mathematics	ME Medicine & Health
MI Microbiology	PH Physics
ZO Zoology

THIRD:
BE Behavioral & Social Sciences	BI Biochemistry
BO Botany	CH Chemistry
CO Computers	EA Earth & Space Science
EN Engineering	EV Environmental Science
MA Mathematics	ME Medicine & Health
MI Microbiology	PH Physics
ZO Zoology

Please fill in the information below:
Prefix
First Name
Last Name
Business/School Affiliation (if applicable)
Degree (Ph.D., Masters, Bachelors, High School/GED)
Business/School Address:
Street
City
State
Zip
Phone (work)
Phone (home)
E-mail address


If you have questions or need further information, please email sciencefair@uwf.edu

	I would like to be a judge on Monday, January 28, 2013.
	By submitting this application to be a Science Fair judge, I acknowledge that I will NOT judge in a category in which my child, relative or student is presenting.
	My area of expertise is not among the sciences listed below. I prefer to serve with a judging team as an interviewer.
	I am already serving as a "Special Awards" judge for
	I know of individuals who would be interested in helping as judges or in some other capacity. Name: Contact Number: Name: Contact Number:
	I cannot help this year but would like to remain on the list for next year