Denver Public Schools
District Science Fair
Guidelines
for
Grades 4–5, 6–8, 9–12
Students
Revised 2009
Division of Teaching and Learning
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Adapted from BSCS Science Tracks (2006) by the Biological Sciences Curriculum Study and Inquiry and the
National Science Education Standards (2000) by the National Research Council.
30” or 76 cm
District Science Fair Display Layout
36”
Project Title
Question
Write question here
Prediction
Write prediction here
Experimental
Design
Write five components of
experimental design here
Discussion
Write about trends in
your results here
Student(s)’ Name(s)
Procedure
Write steps for
procedure here
Results
Data Table
Graph
Conclusion
Provide data table(s) of
results here
Provide graph(s) of results
here
Maximum Size of Project Display
Depth (front to back): 30 inches or 76 centimeters
Width (side to side): 48 inches or 122 centimeters
Height (floor to top): 108 inches or 274 centimeters
48” or 122 cm
Write conclusion here
Literature Cited
List references here
108”
or
274
cm
!
!
!
!
!
Creating your Science Fair Display
Your display should be mounted on a display board that can sit on top of a table and stand up by itself.
Your display must fit into a space 36 inches high and 48 inches wide.
Your display should be easy to read, neat, and organized. Please see the sample display layout for suggested organization.
Use color, photographs, drawings, graphs, tables, and charts to emphasize your findings and to draw the interest of the viewer.
Your display should include all of the sections listed below.
Sections to include in your Science Fair Display
1. Title is a statement describing an investigation
! The title of your project should be a complete sentence.
! The title should state how the independent variable and the dependent variable in your investigation are related.
Sample format: “The Effect of the Changes in the independent variable on the dependent variable”
2. Question describes the focus of the investigation
! You question should be testable.
! Write your question so that someone else can easily understand what you are asking.
3. Prediction is a statement of the relationship of an independent and dependent variable to be tested in an investigation; it predicts the effect that the
changes purposely made in the independent variable will have on the dependent variable
!
!
Your prediction should make a statement about what you think will happen.
Your prediction should relate the independent variable to the dependent variable.
4. Experimental Design
! Using the five components below, describe the design of your investigation:
o Independent variable the variable that is changed on purpose by the experimenter
o Dependent variable the factor or variable that may change as a result of changes purposely made in the independent variable
o Constant variables factors in an investigation that are kept the same and not allowed to change or vary
o Control group the part of an experiment that serves as a standard of comparison; a control is used to detect the effects of factors that should
be kept constant, but which vary; the control may be a “no treatment” group or an “experimenter selected” control
o Number of repeated trials the number of times that a level of the independent variable is tested in an investigation or the number of objects or
organisms tested at each level of the independent variable
5. Procedure
! List the steps you followed to complete your investigation.
! Write the list of steps in the order you completed them.
! Check the list carefully for accuracy.
! If you are using part of a procedure from your text book or from the teacher, you may reference that procedure instead of re-writing it.
Adapted from Students and Research, 2000, Cothron, Giese and Rezba
6. Results
! Include at least one data table and one graph to represent your data. In addition, other representations of data may be used to show results.
Data Table
o Give your data table a title.
o Make a table containing vertical columns for the independent variable and dependent variable.
o Subdivide the column for the dependent variable to reflect the number of trials.
o Order the values of the independent variable – preferably from smallest to largest.
o Record values of the dependent variable.
o Calculate the average results of each trial and record the values.
o Use correct units of measurement.
Graph
o
o
o
o
o
o
o
Give your graph a title.
Draw and label the X and Y axes of the graph. Place the independent variable on the x-axis, and the dependent variable on the y-axis.
Determine an appropriate scale for the x and y axes; subdivide the axes.
Use correct units of measurement.
Provide a legend.
Decide the most appropriate form to plot the data (line, bar, or pie graph)
Summarize the data trends on the graph.
7. Discussion
! Write a paragraph summarizing the results in words.
! Write a second paragraph including the trends or patterns in your results.
! Write a third paragraph that describes the science knowledge that supports your results.
8. Conclusion
! Restate your question.
! State whether the prediction is supported by evidence.
! State your most important result.
! Give an explanation that relates your evidence to something you have learned about science.
! Provide suggestions for further investigations based on your results.
9. Literature cited
If you referenced any sources such as books, articles, or web sites, list them in this section with the title, author, year, and URL (if website).
Adapted from Students and Research, 2000, Cothron, Giese and Rezba
Science Fair Scoring Rubric
Title
3 The title clearly states both the independent and dependent variables and is written as a clear declarative statement.
2 The title is clearly connected to the investigation, but does not mention the dependent or independent variables.
1 The title is present but not does relate directly to the investigation.
0 Not attempted
Question
3 The question that the investigation was designed to answer is well articulated and testable.
2 The question that the investigation was designed to answer is testable.
1 The question is present, but is not testable.
0 Not attempted
Prediction
3 The prediction is clearly stated and shows a reasonable relationship between the independent variable on the dependent variable.
2 The prediction is stated but is not reasonable or only mentions one of the variables.
1 The prediction is present but does not show a relationship between the variables.
0 Not attempted
Experimental Design
3 At least four of the five components of experimental design are clearly stated.
2 At least three of the five components of experimental design are clearly stated.
1 At least two of the five components of experimental design are clearly stated.
0 Not attempted or only one of the five components of experimental design is clearly stated.
Procedure
3 A detailed, logical step by step procedure is listed.
2 A logical step by step procedure is listed, but some steps are missing or incomplete.
1 A logical step by step procedure is listed, but many steps are missing or incomplete.
0 Not attempted
Results
3 Data table(s), graph(s), and other representations of data are accurate, easily understood and complete including title, appropriate
labels, appropriate placement of variables, and use of correct units of measurement.
2 Data table(s), graph(s), and other representations of data include most of the above components.
1 Data table(s), graph(s), and other representations of data include some of the above components.
0 Not attempted
Discussion
3 Discussion includes at least three paragraphs that summarize the results in words, describe trends or patterns in the results, and
relate the science knowledge that supports the results.
2 Most parts of discussion are complete and accurate.
1 Some parts of discussion are complete and accurate.
0 Not attempted
Conclusion
3 Conclusion clearly restates the question and whether the prediction was supported with evidence; includes an explanation that
effectively connects results to scientific knowledge; and, also provides suggestions for further investigations.
2 Most parts of conclusion are complete and accurate.
1 Some parts of conclusion are complete and accurate.
0 Not attempted
Creativity
3 Project is clearly the original creative work of the student researcher. Input into the project by adults is limited.
2 Project is mostly the original creative work of the student researcher.
1 There is evidence of some input from adults beyond encouragement and assistance in obtaining materials
0 There is evidence of significant input from adults beyond encouragement and assistance in obtaining materials
Display
3 Display is easy to read. Display is well-organized. Color, graphics, and other visual components add to the display.
2 Two out the three qualities listed above are present.
1 One out the three qualities listed above is present.
0 Display is difficult to read, poorly organized, and visual components such as graphics or color are missing or distracting.
Oral Presentation
3 Effective communication of scientific concepts, design principles, data analysis and further studies.
2 Two out of the four qualities listed above are present.
1 One out of the four qualities listed above is present.
0 Communication was not effective.
District Science Fair
Score Sheet
Judge’s Name: ____________________________________________________________
Student(s) Name(s): __________________________________________ Grade: _____
School: _______________________________ Teacher: __________________________
Title of Project: ___________________________________________________________
Score (circle one):
Scientific Investigation
Title
0
1
2
3
Question
0
1
2
3
Prediction
0
1
2
3
Experimental Design
0
1
2
3
Procedure
0
1
2
3
Results
0
1
2
3
Discussion
0
1
2
3
Conclusion
0
1
2
3
Creativity
0
1
2
3
Display
0
1
2
3
Oral Presentation
0
1
2
3
Total Score (out of 33 points) _______
Student(s) Name(s): ________________________________________________________
One great aspect of your project:
One suggestion for the future:
Condensed Version Guidelines for Science and Engineering Fairs
Grades 6–12
for DPS and Denver Metro Science Fair
(Full version available at http://www2.uchsc.edu/sciencefair)
Maximum Project Display Size
!
!
!
Depth (front to back): 30 inches or 76 centimeters
Width (side to side): 48 inches or 122 centimeters
Height (floor to top): 108 inches or 274 centimeters
Inquiry Projects: All projects must be inquiry-based and have testable questions. No research style or demonstration projects will be
admitted. Research papers may accompany the project, however.
Required Forms: (1) Cover Page; (2) Registration; (3) Media Release; (4) Checklist for Adult Sponsor; (5) Student Checklist; (6)
Research Plan; (7) Approval Form, (8) Human Subject Form (if human subjects are used); (9) Abstract [one page, 250 word maximum]
and Certification; (10) Regulated Research Institution Form (if applicable); and (11) Qualified Scientist Form (if applicable). These forms
are the only ones allowed to be displayed on the display table.
Not Allowed on Display: Plant or animal materials (living or dead), food, chemicals or other hazardous substances (including water,
unless provided by display and safety committee or in enclosed apparatus), sharp items, flames, batteries with open-top cells, previous
awards, photos of dissections or other lab procedures on animals, active Internet connections, glass (unless approved by safety
committee); other apparatus deemed unsafe by review committee.
Allowed With Restrictions: Acrylic encased samples of rock, soil, etc.; photos if not “offensive” and, if of humans, must include
Human Subject Form; mechanical apparatuses if not operated; lasers (see page 7 of guidelines).
Electrical Requirements: Must be standard 120- or 220-volt AC; participants must provide three-prong extension cords; all electrical
equipment must be UL-listed; non-commercial appliances must have fuses; on-off switches must be present and clearly visible;
switches must be off when participants are not present.
Other Requirements: Participants must be present for safety inspections; no changes may be made after inspection; project data
book/research papers are recommended; lights/sounds must not be distracting; no food or drink (except small bottle of water for
participant); safety committee must approve all technical, audio, or visual equipment; work must be from current year; if project is a
continuation of previous work, proper documents and rules apply (page 10 of guidelines).
Team Projects: Maximum of three (3) members. Compete in a separate category. Team membership may not change from fair to fair.
One member should be appointed team spokesperson. All team members’ names must appear on Abstract Form.
Roles and Responsibilities: Student is responsible for all parts of experiment and may not be older than 21 years old. Adult
Sponsor is teacher, parent, professor, or scientist who must review Student Checklist and Research Plan to ensure rules and
procedures are properly followed. Some projects require Qualified Scientist with appropriate doctoral or masters degree if required
(page 9, #9 in guidelines). Each project must have Designated Supervisor (usually teacher) who is well-versed in project and its area
of science. Institutional Review Board evaluates potential health risks at fair. The Affiliated Fair Scientific Review Committee
ensures regulations are followed and proper paper work is submitted.
Human Subjects: If used, refer to pages 13–14 of guidelines. Also review informed consent requirements on page 15.
Risk Activities: Cannot be more than minimal. Even surveys asking about past abuse, sexual conduct, or emotional stress are more
than minimal (pages 14–15 of guidelines).
Vertebrate Animals: If used, read pages 17–19 for required documentation and proper humane care of vertebrates.
Potentially Hazardous Biological Agents: Including microorganisms, rDNA, vertebrate tissues (e.g., blood, frozen tissue, bodily
fluids); read pages 21–23 of guidelines; many agents are prohibited.
Important! If human, vertebrate, or potentially hazardous biological agents are used, approval committees must approve projects
before experimentation begins.
2009 District Science Fair
Student Science Fair Project
Cover Page
O Student Project Contract
O Display Board Label
O Registration Form
O DPS Media Release Form (copy from form on file at students’ schools)
O Abstract (student signature required)
O ISEF Checklist for Adult Sponsor (1) (adult sponsor signature required)
O ISEF Student Checklist (1A)
O Research Plan
O ISEF Approval Form (1B) (student, parent, adult sponsor signatures required)
Note: IRB/SRC approval is needed before experimentation is begins.
ISEF additional forms as needed (make sure required signatures are obtained)
O Regulated Research Institutional/Industrial Setting Form (1C)
O Qualified Scientist Form (2)
O Risk Assessment Form (3)
O Human Subjects Form (4)
O Vertebrate Animal Form (5A)
O Vertebrate Animal Form (5B)
O Potentially Hazardous Biological Agents Risk Assessment Form (6A)
O Human and Vertebrate Animal Tissue Form (6B)
O Continuation Projects Form (7)
Save ORIGINALS and place them in Project Data Notebook.
Project Submission Deadline: January 9, 2009
Schools/students should mail, email, or fax completed registration form to:
Debbie Turner, Community Resources
303-782-0975, [email protected]
District Science Fair
STUDENT PROJECT CONTRACT
Student Agreement
I, ________________________________, from __________________________________________
(Name of Student)
(Name of School and Grade)
agree to complete a science fair project on _________________________________________.
(Title of Project)
I also agree to do my own work and follow the guidelines for District Science Fair projects.
I understand that my project must be completed by ________________________________.
(Date Assigned by Teacher)
_________________________________
Student’s Signature
Parent or Guardian Agreement
I agree to encourage my child’s participation in the District Science Fair by providing
guidance and support when needed. I will ensure that my child completes the project
on or by the due date.
_________________________________
Parent or Guardian Signature
(Team projects require a separate contract for each student.)
Science Fair Display Board Label
Cut out and place this information on upper left corner of back of
the display board of your project.
!
Name(s): _______________________________
School:_________________________________
Grade: _________________________________
Teacher: _______________________________
Title: __________________________________
_______________________________________
District Science Fair
Registration Form
Required for District Science Fair
Denver Zoo (free admission)
January 24, 2009
Return registration form by 4:00 p.m., Friday, January 9, 2009.
Fax to 303-782-0978 or email to [email protected]
Questions can be directed to:
Debbie Turner at 303-782-0975 or [email protected]
John Harrington [email protected]
Patty Kincaid at [email protected]
Linda Morris at [email protected]
Each school can register:
One (1) K–3 class, team, or individual entry (Participation Award)
One (1) class, team, or individual entry for each grade level, grades 4–5 (Judged)
Two (2) team or individual entries for each grade level, grades 6–12 (Judged)
Kindergarten–Grade 3
Class
o
Team
o
Individual
o
School Name _________________________ Teacher Name ____________________________________________
Grade _______________________ Student(s) Name(s) _______________________________________________
Title of Project _______________________________________________________________________________
Does student need electrical outlet?
Does student need water source?
o Yes
o Yes
Grades 4–5
o No
o No
Class
o
(must bring own extension cord)
(must bring own container)
Team
o
Individual
o
School Name _________________________ Teacher Name ____________________________________________
Grade _______________________ Student(s) Name(s) _______________________________________________
Title of Project _______________________________________________________________________________
Does student need electrical outlet?
Does student need water source?
o Yes
o Yes
o No
o No
(must bring own extension cord)
(must bring own container)
Grade 6
Class
o
Team
o
Individual
o
School Name _________________________ Teacher Name ____________________________________________
Grade _______________________ Student(s) Name(s) _______________________________________________
Title of Project _______________________________________________________________________________
Does student need electrical outlet?
Does student need water source?
o Yes
o Yes
Grade 7
o No
o No
Class
o
(must bring own extension cord)
(must bring own container)
Team
o
Individual
o
School Name _________________________ Teacher Name ____________________________________________
Grade _______________________ Student(s) Name(s) _______________________________________________
Title of Project _______________________________________________________________________________
Does student need electrical outlet?
Does student need water source?
o Yes
o Yes
Grade 8
o No
o No
Class
o
(must bring own extension cord)
(must bring own container)
Team
o
Individual
o
School Name _________________________ Teacher Name ____________________________________________
Grade _______________________ Student(s) Name(s) _______________________________________________
Title of Project _______________________________________________________________________________
Does student need electrical outlet?
Does student need water source?
o Yes
o Yes
Grades 9, 10, 11, 12
o No
o No
Class
o
(must bring own extension cord)
(must bring own container)
Team
o
Individual
o
School Name _________________________ Teacher Name ____________________________________________
Grade _______________________ Student(s) Name(s) _______________________________________________
Title of Project _______________________________________________________________________________
Does student need electrical outlet?
Does student need water source?
o Yes
o Yes
o No
o No
(must bring own extension cord)
(must bring own container)
2009 District Science Fair
Abstract Form
Title of Project:
Student Name:
School and City:
Abstract (250 words or less):
As a part of this research project, student directly handled, manipulated, or interacted with (check all that apply):
O
O
O
human subjects
pathogenic agents
recombinant DNA
O
O
O
non-human vertebrate animals
controlled substances
human/animal tissue
Student independently performed all procedures as outlined in this abstract.
This project was conducted at a Registered Research Institution.
Is this project a continuation?
O
O
O
Yes
Yes
Yes
O
O
O
No
No
No
Category:
I hereby certify that the above statements are correct and the information provided in this Abstract is the result
of one year’s research. I also attest that the above property reflects my/our own work.
Student Signature
Date:
Checklist for Adult Sponsor (1)
This completed form is required for ALL projects and
must be completed before experimentation
To be completed by the Adult Sponsor in collaboration with the student researcher:
Student’s Name:
Project Title:
1)
I have reviewed the ISEF Rules and Guidelines.
2)
I have reviewed the student’s completed Student Checklist (1A) and Research Plan.
3)
I have worked with the student and we have discussed the possible risks involved in the project.
4)
The project involves one or more of the following and requires prior approval by an SRC, IRB, IACUC or IBC:
Humans
Potentially Hazardous Biological Agents:
Microorganisms
Vertebrate Animals
rDNA
Tissues
5) Forms to be completed for ALL Projects:
Adult Sponsor Checklist (1)
Research Plan
Student Checklist (1A)
Approval Form (1B)
Regulated Research Institutional/Industrial Setting Form (1C) (when applicable)
Continuation Form (7) (when applicable)
6) Additional forms required if the project includes the use of one or more of the following (check all that apply):
Humans (Requires prior approval by an Institutional Review Board (IRB), see pp. 13-16 for full text of the rules)
Human Subjects Form (4)
Qualified Scientist Form (2) (if applicable and/or required by the IRB)
Vertebrate Animals (Requires prior approval, see pp. 17-20 for full text of the rules)
Vertebrate Animal Form (5A) - for projects conducted in a non-regulated research site (SRC prior approval required.)
Vertebrate Animal Form (5B) - for projects conducted at a Regulated Research Institution. (Institutional Animal Care and
Use Committee (IACUC) approval required prior experimentation.)
Qualified Scientist Form (2) (Required for all vertebrate animal projects at a regulated research site or when applicable)
Potentially Hazardous Biological Agents
(Requires prior approval by SRC, IACUC or Institutional Biosafety Committee (IBC), see
pp. 21-24 for full text of the rules.)
Potentially Hazardous Biological Agents Risk Assessment Form (6A)
Human and Vertebrate Animal Tissue Form (6B) - to be completed in addition to Form 6A when project involves the use of
fresh or frozen tissue, primary cell cultures, blood, blood products and body fluids.
Qualified Scientist Form (2) (when applicable)
Risk Assessment Form (3) Required for projects involving protists, archae and similar microorganisms and for projects
using manure for composting, fuel production or other non-culturing experiments (6A, 6B and 2 are not required)
Hazardous Chemicals, Activities and Devices (No prior approval required, see pp.25-27 for full text of the rules.)
Risk Assessment Form (3)
Qualified Scientist Form (2) (required for projects involving DEA-controlled substances or when applicable)
Adult Sponsor’s Printed Name
Phone
Signature
Date of Review
(Must be prior to experimentation.)
Email
International Rules 2008/2009 full text of the rules and copies of forms are available at www.societyforscience.org/isef
Page 29
Student Checklist (1A)
This form is required for ALL projects.
1) a. Student/Team Leader:
Grade:
Email:
Phone:
b. Team Member:
c. Team Member:
2) Title of Project:
3) School:
School Phone:
School Address:
4) Adult Sponsor:
Phone/Email:
5) Is this a continuation from a previous year?
If Yes:
a) Attach the previous year’s
Abstract
Yes
No
Form 1A and
b) Explain how this project is new and different from previous years on
6) This year’s laboratory experiment/data collection will begin:
Research Plan
Continuation Form (7)
(must be stated (mm/dd/yy)
Projected Start Date:
Projected End Date:
(Projected dates are required for projects that require SRC/IRB prior review)
ACTUAL Start Date:
ACTUAL End Date:
7) Where will you conduct your experimentation? (check all that apply)
Research Institution
School
Field
Home
Other: _________________________
8) List name and address of all non-school work site(s):
Name:
Address:
Phone:
9)
Complete a Research Plan as described on page 31 and attach to this form.
10) An abstract is required for all projects after experimentation (see page 28).
International Rules 2008/2009 full text of the rules and copies of forms are available at www.societyforscience.org/isef
Page 30
Research Plan
REQUIRED for ALL Projects Before Experimentation
A complete research plan must accompany Checklist for Student (1A)
Provide a typed research plan and attach to Student Checklist (1A).
The research plan for ALL projects is to include the following:
A. Question being addressed
B. Hypothesis/Problem/Engineering Goals
C. Description in detail of method or procedures (The following are important and key items that should be included when formulating
ANY AND ALL research plans.)
•
•
Procedures: Detail all procedures and experimental design to be used for data collection
Data Analysis: Describe the procedures you will use to analyze the data that answer research question or hypothesis
D. Bibliography: List at least five (5) major references (e.g. science journal articles, books, internet sites) from your literature
review. If you plan to use vertebrate animals, one of these references must be an animal care reference.
o Choose one style and use it consistently to reference the literature used in the research plan
o Guidelines can be found in the Student Handbook.
These are guidelines and should be followed where applicable. *Refer to Items 1-4 below.
1. Human subjects research (See instructions on p. 13 of the International Rules):
• Detail all procedures, include what the participants are asked to do (see p. 13)
• Describe Risk Assessment process and how risks will be minimized
•
o
o
o
o
•
Number of human subjects and estimated demographics (may include information such as: age, male/female, cultural
background breakdown, socio-economic status)
Recruitment procedures (where and how subjects are recruited)
Procedures for obtaining informed consent must include statement about informing potential human subjects about voluntary
nature of participation and right to withdraw at any time
Include survey or questionnaires if used, and critically evaluate the risk
o
•
Include strategies used to protect privacy and confidentiality
Describe Study Sample/Human Subjects
o
List and describe the measures (questionnaires, surveys) used and how you measure the variable of interest (behavioral
observations, time, length). Attach the questionnaire/survey
Consider emotional stress and potential consequences
Describe any physical activities or procedures, if used, and critically evaluate the risks
o
o
Type, duration of exercise or physical activity
Ingestion method, amount, intervals, etc.
2. Vertebrate animal research (See instructions on p.17 of the International Rules):
• Briefly discuss POTENTIAL ALTERNATIVES and present a detailed justification for use of vertebrate animals
• Explain potential impact or contribution this research may have
• Detail all procedures to be used
o
•
•
•
o
Include methods used to minimize potential discomfort, distress, pain and injury to the animals during the course of
experimentation
Detailed chemical concentrations and drug dosages
Detail animal numbers, species, strain, sex, age, etc.
o
Include justification of the numbers planned for the research
Describe housing and oversight of daily care
Discuss disposition of the animals at the termination of the study
3. Potentially Hazardous Biological Agents (See instructions on p.21 of the International Rules):
• Describe Biosafety Level Assessment process and resultant BSL determination
• Give source of agent, source of specific cell line, etc.
• Detail safety precautions
• Discuss methods of disposal
4. Hazardous Chemicals, Activities & Devices (See instructions on p.25 of the International Rules):
• Describe Risk Assessment process and results
• Detail chemical concentrations and drug dosages
• Describe safety precautions and procedures to minimize risk
• Discuss methods of disposal
International Rules 2008/2009 full text of the rules and copies of forms are available at www.societyforscience.org/isef
Page 31
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 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 or the 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.)
2) To be completed by the Fair SRC
(Required for projects requiring prior SRC/IRB APPROVAL. Sign 2a or 2b as appropriate.)
a) Required for projects that need prior SRC/
IRB approval BEFORE experimentation
(humans, vertebrates or potentially hazardous biological
agents)
OR
The SRC/IRB has carefully studied this project’s Research
Plan and all the required forms are included. My signature
indicates approval of the Research Plan before the student
begins experimentation.
b) Required for research conducted at all
Regulated Research Institutions with no
prior fair SRC/IRB approval.
This project was conducted at a regulated research
institution (not home or high school, etc.), was reviewed
and approved by the proper institutional board before
experimentation and complies with the ISEF Rules. Attach
(1C) and required institutional approvals (e.g. IACUC,
IRB)
SRC/IRB Chair’s Printed Name
Signature
SRC Chair’s Printed Name
Date of Approval
(Must be prior to experimentation.)
3) Final ISEF Affiliated Fair SRC Approval.
Signature
Date of 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 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 2008/2009 full text of the rules and copies of forms are available at www.societyforscience.org/isef
Page 32
Regulated Research Institutional/Industrial Setting Form (1C)
This form must be completed after experimentation by the adult supervising the student research conducted
in a regulated research institution, industrial setting or any work site other than home, school or field.
This form MUST be displayed with your project.
Student’s Name
Title of Project
To be completed by the Supervising Adult in the Setting (NOT the Student) after experimentation:
(Please provide your responses on this form)
The student conducted research at my work site:
a)
to use the equipment
b)
to perform experiment(s)/conduct research
1) How did the student get the idea for her/his project?
(e.g. Was the project assigned, picked from a list, an original student idea, etc.)
2) Were you made aware of the ISEF rules before experimentation?
3) Did the student work on the project as a part of a research group?
Yes
Yes
No
No
If yes, how large was the group and what kind of research group was it (students, group of adult researchers, etc.)
4) What specific procedures or equipment did the student actually use and how independently did the student work?
Please list and describe. (Do not list procedures student only observed.)
Student research projects dealing with human subjects, vertebrate animals or potentially hazardous
biological agents require review and approval by an institutional regulatory board (IRB/IACUC/IBC). Copy
of approval(s) must be attached, if applicable.
Supervising Adult’s Printed Name
Institution
Signature
Title
Date Signed
Address
Email/ Phone
International Rules 2008/2009 full text of the rules and copies of forms are available at www.societyforscience.org/isef
Page 33
Qualified Scientist Form (2)
May be required for research involving human subjects, vertebrate animals, potentially hazardous biological
agents, and DEA-controlled substances. Must be completed and signed before the start of student experimentation.
Student’s Name
Title of Project
To be completed by the Qualified Scientist:
Scientist Name:
Educational Background:
Degree(s):
Experience/Training as relates to the student’s area of research:
Position:
Institution:
Address:
Email/Phone:
yes
no
Human subjects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
yes
no
b) Vertebrate animals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
yes
no
c) Potentially hazardous biological agents (microorganisms, rDNA and tissues,
including blood and blood products) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
yes
no
d) DEA-classed substances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
yes
no
3) Will you directly supervise the student? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
yes
no
1) Have you reviewed the ISEF rules relevant to this project?
2) Will any of the following be used?
a)
a. If no, who will directly supervise and serve as the Designated Supervisor?
b. Experience/Training of the Designated Supervisor:
4) Describe the safety precautions and training necessary for this project:
To be completed by the Qualified Scientist:
I certify that I have reviewed and approved the Research Plan
prior to the start of the experimentation. If the student or
Designated Supervisor is not trained in the necessary procedures, I
will ensure her/his training. I will provide advice and supervision
during the research. I have a working knowledge of the techniques to
be used by the student in the Research Plan. I understand that a
Designated Supervisor is required when the student is not
conducting experimentation under my direct supervision.
To be completed by the Designated Supervisor
when the Qualified Scientist cannot directly
supervise.
I certify that I have reviewed the Research Plan and have been
trained in the techniques to be used by this student, and I will
provide direct supervision.
Designated Supervisor’s Printed Name
Qualified Scientist’s Printed Name
Signature
Signature
Date of Approval
Phone
Date of Approval
Email
International Rules 2008/2009 full text of the rules and copies of forms are available at www.societyforscience.org/isef
Page 34
Risk Assessment Form (3)
Required for projects using hazardous chemicals, activities or devices.
Must be completed before experimentation.
Student’s Name
Title of Project
To be completed by the Student Researcher in collaboration with Designated Supervisor/Qualified Scientist:
(All questions must be answered; additional page(s) may be attached.)
1. List/identify the hazardous chemicals, activities, devices or microorganisms that will be used.
2. Identify and assess the risks involved.
3. Describe the safety precautions and procedures that will be used to reduce the risks.
4. Describe the disposal procedures that will be used (when applicable).
5. List the source(s) of safety information.
To be completed and signed by the Designated Supervisor (or Qualified Scientist, when applicable):
I agree with the risk assessment and safety precautions and procedures described above. I certify that I have reviewed the Research
Plan and will provide direct supervision.
Designated Supervisor’s Printed Name
Signature
Date of Review
(must be prior to experimentation.)
Position & Institution
Phone or email contact information
Experience/Training as relates to the student’s area of research
International Rules 2008/2009 full text of the rules and copies of forms are available at www.societyforscience.org/isef
Page 35
Human Subjects Form (4)
Required for all research involving human subjects. IRB approval required before experimentation.
Student’s Name
Title of Project
To be completed by Student Researcher in collaboration with the Designated Supervisor/Qualified Scientist:
(All questions must be answered; additional page may be attached.)
1) Describe the purpose of this study and list all of the research procedures in which the subject will be involved. Include the duration
of the subject’s involvement. Attach any survey or questionnaire.
2) Describe and assess any potential risk or discomfort, and, if any, potential benefits (physical, psychological, social, legal or other)
that may be reasonably expected by participating in this research.
3) Describe the procedures that will be used to minimize risk, to obtain informed consent and/or assent, and to maintain confidentiality.
For questions or concerns regarding this research, contact: _______________________ at _______________________________.
Adult Sponsor
Email/phone
To be completed by Institutional Review Board (IRB) prior to experimentation: Determination of risk, including
physical and psychological risks (See risk evaluation, p. 14.) MUST CHECK ONE OF THE BOXES
Minimal risk where informed consent is recommended, but not required. Justification for waiver of informed consent for research with
subjects under 18 years of age:
Minimal risk where informed consent is REQUIRED.
More than minimal risk where informed consent & a Qualified Scientist are REQUIRED
IRB SIGNATURES (All three signatures are required;
Adults supervising this project may not serve on the IRB reviewing
this project; it is a conflict of interest.)
1) Medical Professional:
(MUST circle one) (a psychologist, psychiatrist, medical doctor, licensed social worker, physician’s asst., or registered nurse)
Printed Name (including title)
Signature
Date of Approval
Printed Name
Signature
Date of Approval
Signature
Date of Approval
2) Science Educator:
3) School Administrator:
Printed Name
To be completed by Parent/Guardian:
To be completed by Human Subject:
( prior to participation)
Printed Name
yes
no
yes
no
yes
no
Signature
I have read and understand the conditions and risks above
and I consent/assent to voluntarily participate in this
research study.
I realize I am free to withdraw my consent and to
withdraw from this study at any time without negative
consequences.
I consent to the use of visual images (photos, videos,
etc.) involving my participation in this research.
Date
(Prior to participation and when
participant is under 18 and
informed consent is required)
Printed Name
I have read and understand the conditions and risks above
yes
yes
no and consent to the participation of my child.
no
I have reviewed a copy of any survey or questionnaire
used in the research.
I consent to the use of visual images (photos, videos, etc.)
involving my child in this research.
yes
no
Signature
Date
International Rules 2008/2009 full text of the rules and copies of forms are available at www.societyforscience.org/isef
Page 36
Vertebrate Animal Form (5A)
Required for all research involving vertebrate animals that is conducted in a Non-Regulated Research Site.
(SRC approval required before experimentation.)
Student’s Name
Title of Project
To be completed by Student Researcher:
1. Common name (or Genus, species) and number of animals used.
2. Describe completely the housing and husbandry to be provided. Include the cage/pen size, number of animals per cage,
environment, bedding, type of food, frequency of food and water, how often animal is observed, etc.
3. What will happen to the animals after experimentation?
To be completed by Scientific Review Committee (SRC) BEFORE experimentation
Level of Supervision Required for agricultural, behavioral or nutritional studies:
Designated Supervisor REQUIRED. Please have applicable person sign below.
Veterinarian and Designated Supervisor REQUIRED. Please have applicable persons sign below.
Veterinarian, Designated Supervisor and Qualified Scientist REQUIRED. Please have applicable persons sign below and have the
Qualified Scientist complete Form (2).
The SRC has carefully reviewed this study and finds it is an appropriate study that may be conducted in a non-regulated research site.
SRC Pre-Approval Signature:
SRC Chair Printed Name
Signature
To be completed by Veterinarian:
I certify that I have reviewed this research and animal
husbandry with the student before the start of
experimentation.
I certify that I will provide veterinary medical and nursing
care in case of illness or emergency.
Date of Approval
To be completed by Designated Supervisor:
I certify that I have reviewed this research and animal
husbandry with the student before the start of
experimentation and I accept primary responsibility for
the care and handling of the animals in this project.
I certify that I will directly supervise the experiment.
Printed Name
Email/Phone
Printed Name
Email/Phone
Signature
Date of Approval
Signature
Date of Approval
International Rules 2008/2009 full text of the rules and copies of forms are available at www.societyforscience.org/isef
Page 37
Vertebrate Animal Form (5B)
Required for all research involving vertebrate animals that is conducted at a Regulated Research Institution.
(IACUC approval required before experimentation.)
Student’s Name
Title of Project
Title and Protocol Number of IACUC Approved Project
To be completed by Qualified Scientist or Principal Investigator:
1. Was this a student-generated idea or was it a subset of your work?
2. Have you reviewed the ISEF Rules relevant to this project?
3. What laboratory training, including dates, was provided to the student?
4. Species of animals used:
Number of animals used:
5. USDA Pain Category designated for this study:
6. Describe, in detail, the role of the student in this project: procedures and equipment they were involved with, oversight
provided and safety precautions employed. (Attach extra pages if necessary.)
7. Attach a copy of the Regulated Research Institution IACUC Approval. A letter from the Qualified Scientist or
Principal Investigator is not sufficient.
Certification or Documentation of Student Researcher Training
Date(s) of Training
List Certificate Number or Attach Documentation
Qualified Scientist/Principal Investigator Printed Name
IACUC Chair/Coordinator Printed Name
Signature
Signature
Date
Date
International Rules 2008/2009 full text of the rules and copies of forms are available at www.societyforscience.org/isef
Page 38
Potentially Hazardous Biological Agents Risk Assessment Form (6A)
Required for research involving microorganisms, rDNA, fresh/frozen tissue, blood and body fluids.
SRC/IACUC/IBC approval required before experimentation.
Student’s Name
Title of Project
To be completed by Student Researcher in collaboration with Qualified Scientist/Designated Supervisor:
(All questions are applicable and must be answered; additional page(s) may be attached.)
1) Identify potentially hazardous biological agents to be used in this experiment. Include the source, quantity and the biosafety level
risk group of each microorganism.
2) Describe the site of experimentation including the level of biological containment.
3) Describe the method of disposal of all cultured materials and other potentially hazardous biological agents.
4) Describe the procedures that will be used to minimize risk. (personal protective equip., hood type, etc.)
5) What final biosafety level do you recommend for this project given the risk assessment you conducted?
To be completed by Qualified Scientist or Designated Supervisor
1) What training will the student receive for this project?
2)
Do you concur with the biosafety information and recommendation provided by the student researcher above?
If no, please explain.
QS/DS Printed Name
Signature
Yes
No
Date of Signature
Experience/training of Designated Supervisor as it relates to the student’s area of research (if applicable)
To be completed by SRC prior to experimentation:
The SRC has carefully studied this project’s
Research Plan and the risk level assessment above
and approves this study as a BSL-1 study, which
must be conducted at a BSL-1 or above laboratory.
The SRC has carefully studied this project’s
Research Plan and the risk level assessment
above and approves this study as a BSL-2 study,
which must be conducted at a BSL-2 or above
laboratory.
To be completed by SRC after experimentation
with Institutional pre-approval:
This project was reviewed and approved by the
appropriate institutional board (e.g. IACUC, IBC)
before experimentation at a BSL-1 or BSL-2
laboratory and complies with the ISEF rules. The
required institutional forms are attached.
The institution does not require approval for this
type of study. The student has received proper
training. Attached is a letter from an institutional
representative certifying the above.
SRC Chair’s Printed Name
Signature
Date of Approval
SRC Chair’s Printed Name
Signature
Date of Approval
International Rules 2008/2009 full text of the rules and copies of forms are available at www.societyforscience.org/isef
Page 39
Human and Vertebrate Animal Tissue Form (6B)
Required for projects using fresh/frozen tissue, primary cell cultures, blood, blood products and body fluids.
If the research involves living organisms, please ensure that the proper human or animal forms are completed.
All projects using any tissue listed above, must also complete Form 6A.
Student’s Name
Title of Project
To be completed by Student Researcher:
1) What tissue(s), organ(s), or part(s) will be used?
2) Where will the above tissue, organ, or part be obtained (identify each separately):
3) If the tissue is obtained from a source within a research institution, please provide information regarding the vertebrate
study from which the tissue was obtained. Attach a copy of the IACUC certification with the name of the research
institution, the title of the study, the IACUC approval number and date of IACUC approval.
To be completed by the Qualified Scientist or Designated Supervisor:
I verify that the student will work solely with organs, tissues, cultures or cells that will be supplied to him/her by
myself or qualified personnel from the laboratory; and that if vertebrate animals were euthanized they were
euthanized for a purpose other than the student’s research.
AND/OR
I certify that the blood, blood products, tissues or body fluids in this project will be handled in accordance with
the standards and guidance set forth in Occupational Safety and Health Act, 29CFR, Subpart Z, 1910.1030 Blood Borne Pathogens.
Printed Name
Signature
Date Signed
(Must be prior to experimentation.)
Title
Phone/Email
Institution
International Rules 2008/2009 full text of the rules and copies of forms are available at www.societyforscience.org/isef
Page 40
Continuation Projects Form (7)
Required for projects that are a continuation in the same field of study as a previous project.
This form must be accompanied by the previous year’s abstract, Form (1A) and Research Plan.
Student’s Name
To be completed by Student Researcher:
List all components of the current project that make it new and different from previous research. Use an additional form for
2005 and earlier projects.
Components
Current Research Project
Previous Research Project
2007-2008:
1. Title
2006-2007:
2. Line of
investigation/
central theme
of research
2007-2008:
2006-2007:
2007-2008:
3. Objectives
2006-2007:
2007-2008:
4. Variables
studied
2006-2007:
2007-2008:
5. Additional
changes
2006-2007:
This form must be displayed at your project to help provide the judges a better
understanding of your project and what research has been done in the current year.
I hereby certify that the above information is correct and that the current year Abstract & Certification and project
display board properly reflect work done only in the current year.
Student’s Printed Name
Signature
Date of Signature
International Rules 2008/2009 full text of the rules and copies of forms are available at www.societyforscience.org/isef
Page 41