REQUEST FOR SCIENCE FAIR JUDGES 2006-2007

Today's Date: (example: 01/29/59)

Name (and/or Number) of School:            

Address:                City:             State:                  Zip:            

Phone:             (example: 317-574-7272)    ext.             Fax:                Email:

School Contact Person:                        Alternate Contact Person:

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      Date of Science Fair  (box below, example: 01/01/01)            Or...                                 Date of Invention Convention (box below)   

Time Judges should report for orientation:             (example: 8:00 a.m. or 1:00 p.m.)

Beginning and completion time for fair-  From:                    to                      (see example above)

Location of activity: (Gym, cafeteria, etc., please be as specific as possible)

Grade levels involved:

Anticipated number of students/exhibits: 

Number of ESC Judges needed:              (enter a number between 1 and 6) 

Note: Due to the various schedules of our members, we can not guarantee any specific number of judges for any particular fair!  However, we will do our best to obtain as many judges as possible for all scheduled fairs.

Are you interested in obtaining a copy of ESC's Science Resource Manual?    Yes         No 

                    Directions & Special Instructions: (including parking)

Please complete this form and click the submit button below.  Note: clicking the reset button will erase all values in the form. 

Contact Trish Holloway at 574.7272, ext. 224 or ExperienceServesCommunity@yahoo.com with any questions about this form or science fairs in general.

                                                                                                            THANK YOU!

Last Updated: 12/08/2006 09:25 PM

Copyright © 2003 Executive Service Corps of Indiana