5th Annual Kent County Science Fair Application Form, Checklist For Adult Sponsor, Student Checklist Etc Page 5

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Approval Form (1B)
A completed form is required for each student, including all team members.
1) To Be Completed by Student and Parent
a) Student Acknowledgment:
I understand the risks and possible dangers to me of the proposed research plan.
I have read the Intel ISEF Rules and Guidelines and will adhere to all International Rules when conducting this
research.
I have read and will abide by the following Ethics statement
Scientific fraud and misconduct are not condoned at any level of research or competition. Such practices include
plagiarism, forgery, use or presentation of other researcher’s work as one’s own, and fabrication of data.
Fraudulent projects will fail to qualify for competition in affiliated fairs and the Intel ISEF.
Student’s Printed Name
Signature
Date Acknowledged
(Must be prior to experimentation.)
b) Parent/Guardian Approval: I have read and understand the risks and possible dangers involved in the Research
Plan. I consent to my child participating in this research.
Parent/Guardian’s Printed Name
Signature
Date of Approval
(Must be prior to experimentation.)
To be completed by the Fair SRC
2)
(Required for projects requiring prior SRC/IRB APPROVAL. Sign 2a or 2b as appropriate.)
a) Required for projects that need prior SRC/IRB
b) Required for research conducted at all Regulated
approval BEFORE experimentation
Research Institutions with no prior fair SRC/IRB
(humans, vertebrates or potentially hazardous
approval.
OR
biological agents)
This project was conducted at a regulated research
The SRC/IRB has carefully studied this project’s
institution (not home or high school, etc.), was
Research Plan and all the required forms are included.
reviewed and approved by the proper institutional
My signature indicates approval of the Research Plan
board before experimentation and complies with the
before the student begins experimentation.
Intel ISEF Rules. Attach (1C) and required institutional
approvals (e.g. IACUC, IRB)
SRC/IRB Chair’s Printed Name
SRC Chair’s Printed Name
Signature
Date of Approval
Signature
Date of Approval
(Must be prior to experimentation.)
3)
Final Intel ISEF Affiliated Fair SRC Approval (Required for ALL Projects)
SRC Approval After Experimentation and Shortly Before Competition at Regional/State/National Fair
I certify that this project adheres to the approved Research Plan and complies with all Intel ISEF Rules.
Regional SRC Chair’s Printed Name
Signature
Date of Approval
State/National SRC Chair’s Printed Name
Signature
Date of Approval
(where applicable)
International Rules: Guidelines for Science and Engineering Fairs 2011-2012,
Page 31

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