NEW MEXICO JUNIOR ACADEMY OF SCIENCE

STUDENT BIOGRAPHY

 

 

Name________________________________________________________________________

 

Address______________________________________________________________________

 

City, State, Zip Code____________________________________________________________

 

Home Phone________________________   Email Address______________________________

 

Father's Name______________________     Mother's Name_____________________________

 

Current Grade Level__________________   School____________________________________

 

Sponsoring Teacher/Mentor_______________________________________________________

 

Sponsor's Address______________________________________________________________

 

                             ______________________________________________________________

 

 

Title of Research Paper___________________________________________________________

 

_____________________________________________________________________________

 

 

Awards Received at Regional Competition for this Project

 

_____________________________________________________________________________

 

 

Previous Science Research Projects (list awards if appropriate)

 

_____________________________________________________________________________

 

 

Extra Curricular Activities/Hobbies/Interests

 

_____________________________________________________________________________

 

Educational Goals

 

_____________________________________________________________________________

 

 

 

   


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