District Affiliation Fee Form

Southeast Arkansas Regional Science Fair

University of Arkansas at Monticello

Monticello, AR  71656

FAIR DATE:  Thursday, March 13, 2008

 

Deadline for receiving Affiliation fees – January 31, 2008

 

PLEASE TYPE OR PRINT CLEARLY

 

Fair Director’s Name                                                                                                               

 

Address                                                                                                                                   

 

City, Zip                                                                                                                                   

 

School District              ______________________________________________________

 

Estimated number of participants:    Junior                                       Senior                         

 

________________________________________________________________________________________

 

Please estimate of the number of exhibits that will be entered in each category.

Maximum of 3 per category

 

 

 

JR

SR

 

 

 

JR

SR

1.

Animal Sciences (AS)

 

 

 

10.

Energy and Transportation (ET)

 

 

2.

Behavioral and Social Sciences (BE)

 

 

 

11.

Environmental Management (EM)

 

 

3.

Biochemistry (BI)

 

 

 

12.

Environmental Sciences (EV)

 

 

4.

Cellular and Molecular Biology (CB)

 

 

 

13.

Mathematical Sciences (MA)

 

 

5.

Chemistry (CH)

 

 

 

14.

Medicine and Health Sciences (ME)

 

 

6.

Computer Science (CS)

 

 

 

15.

Microbiology (MI)

 

 

7.

Earth and Planetary Science (EA)

 

 

 

16.

Physics and Astronomy (PH)

 

 

8.

Engineering: Electrical and Mechanical ((EE)

 

 

 

17.

Plant Sciences (PS)

 

 

9. Engineering: Materials and Bioengineering (EN)       18. Team (TM)    

 

PLEASE ENCLOSE A $20.00 AFFILIATION FEE

 

Make check payable to: UAM Regional Science Fair