New Mexico Junior Academy of Science

Scientific Paper Competition


ENTRY FORM

 

Name_______________________________________________ Age________ Grade_________

Title of Paper____________________________________________________________________

______________________________________________________________________________

Home Address__________________________________________________________________

Home Phone___________________E-mail Address (if available) ___________________________

Student's School_________________________________School Phone___________________

School Address_________________________________________________________________

____________________________________________________________________________

I certify that the work represented by this paper is completely that of the student named above, except where clearly noted in the Acknowledgment section of the paper.

Teacher or Sponsor ___________________________________________(print name)

__________________________________________________________(address)

_________________________________________________________(address)

________________________________________(signature)

                                          ________________________________________(date)

$6.00 entry fee is required


Send three (3) unbound copies of your manuscript, the $6.00 entry fee, and this form to the Regional Director for your Region. See NMJAS home page for name and address.