CHICAGO PUBLIC SCHOOLS STUDENT SCIENCE FAIR
                           INFORMATION FORM FOR JUDGES

                     [please print or type all information]

Dr ____
Mr ____
Ms ____
Mrs ___   Name ____________________________________________

Home Address ______________________ City __________________

State _____ Zip+4 ____________ Home Phone _________________


Company/Institution _______________________________________

Title _____________________________________________________

Address _____________________________ City ________________

State _____ Zip+4 ____________ Phone __________ Ext _______

Send correspondence to:
Home Address _________ Company/Institution  Address _______


                Please make three choices in order of preference
                      from the list of judging categories.

[1] Aero-Space Sciences              [ 9] Electronics
[2] Behavioral Sciences              [10] Engineering Sciences
[3] Biochemistry                     [11] Health Sciences
[4] Botany                           [12] Mathematics
[5] Chemistry                        [13] Microbiology
[6] Computer Science                 [14] Physics
[7] Conservation                     [15] Zoology
[8] Earth Sciences


First Choice ______   Second Choice _______  Third Choice ______

Total years served as a finalist judge __________
Last served as a finalist judge         ________
Have you received a plaque for serving as a finalist judge?
          Yes ________         No ________
If Yes, in what year was the plaque presented? ____________

Please return this information form to:         [*your name]
                                               [*your address]
                                                [*your tel #]




                          SCHOOL SERVICE CENTER [*SIX]
                              SCIENCE FAIR 19[*xx]

STUDENT NAME:         John Sample                GRADE:  8
                      Mary Doe

School:               Ray
Coordinator:          Veronica Johnson
 _______________________________________________________
[                                                       ]
[  EXHIBIT #:   160  CATEGORY: 02  TABLE #: 02`         ]
[  EXHIBIT NAME:     The effect of Aspartame on Memory  ]
[_______________________________________________________]

                            SCORING

AREA                                                SCORE

                                               [1-11 pts each]

Evidence of Knowledge Gained                   ______________

Evidence of Scientific Approach                ______________

Evidence of Primary Experimental Approach      ______________

Evidence of Individual Work                    ______________

Evidence of Thoroughness                       ______________

Validity of Information                        ______________

Validity of Conclusions                        ______________

Written Presentation                           ______________

Visual Presentation                            ______________

                           Total [max. 99]    _________________

Other Judge's Comments:

____________________________________________________________

____________________________________________________________

____________________________________________________________
 ____________________________________________________________

Judge's Name: _______________________________

Signature:  _________________________________

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