SCIENCE, ENGINEERING AND ENERGY FAIR

FAIRMONT STATE UNIVERSITY

February 20 & 21, 2009

APPLICATION DEADLINE February 4, 2009

STUDENT APPLICATION FORM

Student Information (Individual projects are encouraged)

 

Partner if joint project. Please, maximum of two person teams only

First Name

First Name

Last Name

Last Name

Home Address

Home Address

City

Zip

City

Zip

SSN

SSN

Grade

Grade

 

School County

School Phone Number

Science Teacher's Name

Title of Project

Please Select Category Entered:

Please Select: the Division Junior (grades 6 - 9) or Senior (grades 10 - 12)

Description of Project (25 – 100 words) Note that Science Fair Projects are expected to involve field, laboratory, or theoretical work.

Does Project sit on (Please Select)

Does Project require Electricity (one outlet can be provided). (Please Select)

If you have any questions, please contact:

Michelle Poland, Science Fair Director

P:(304) 367-4246
E: mpoland2@fairmontstate.edu