APPLICATION FORM
for the
Dr. Nelson Ying Science Competition
at the Orlando Science Center Competition:
April 18, 19, 20, 2008
Application, paper, and other materials must be received no later than
5:00 PM, March 21, 2006 (See below).
(Please see Eligibility Requirements before applying)
Name______________________________________ Application Date______________
School Grade______________________________ Age ___________________________
Address_________________________________________________________________
City/State/Zip____________________________________________________________
Home Phone _____________________________________________________________
Your e-mail address
_______________________________________________________
School _________________________________________________________________
Student’s Science Teacher Name
_____________________________________________
School Principal’s Name
___________________________________________________
School Phone No. _________________________________________
Title or name of Project
____________________________________________________
_______________________________________________________________________
Category of Project, check one:
[_] Chemistry; [_]
Computer Science; [_] Mathematics; [_]
Physics;
[_] Earth and Space Science; [_] Engineering; [_] Environmental Science
Do you need any special equipment for your presentation: e.g. overhead
projector, screen, electrical power, etc. [_] No [_] Yes > please specify __________________________
I certify the information above is true to the best of my knowledge and
will abide by the rules of the Competition and the decision of the judges. I hereby
release rights to photographs made at the Competition.
Student Signature ________________________________________________________
Parent (or guardian)
Approval_______________________________________________
Please send the following to arrive at the Orlando Science Center
before 5:00 PM, March 21, 2006:
