Submission of this form is a statement of your willingness
to serve as a Volunteer Judge at the Science and Engineering Fair of
Metro Detroit and/or the Michigan Science and Engineering Fair
Title*
First name*
Middle
Last Name*
Suffix
You
will have the ability of updating/changing this information
on-line. Please enter a password for this capability. If
you ever forget this password, it will be emailed to you in clear
text. You should choose a password that is different from your
'normal' passwords.
Desired Password
Complete
HOME Mailing Address
Home Street Address 1
Home Street Address 2
Home Street Address 3
Home City:
Home State
Home Zip Code:
Complete
WORK Mailing Address
Employer
Job Title:
Work Street Address 1
Work Street Address 2
Work Street Address 3
Work City
Work State
Work Zip Code
Preferred Mailing Address*:
Home
Work
Preferred Communication: eMail
Fax Regular Mail
Telephone Numbers
(WITH area codes)
Work:
xxx-xxx-xxxx ext xxxxx
Home:
xxx-xxx-xxxx
Fax:
xxx-xxx-xxxx
Cell:
xxx-xxx-xxxx
EMail Addresses:
Preferred e-Maill
Alternate e-Mail
Highest Degree*:
From*:
Are you a science teacher associated with 3rd-12th grade or part of a
company outreach program with a supported community service program (eg,
Ford, GM, DCX)?
Yes
If yes School Name or Company Lead Name:
No
Years Professional Experience:
- Started work in 2003
Primary Scientific Specialty:
Previous Judging Experience:
Were you ever a participant in a school science fair? Yes
No
Were you ever an ISEF Finalist? Yes
No
Year that you first judged the SEFMD or the ISEF
(leave blank if this is the first year)
Comments/details of the above three questions:
Judging Scientific Division and Categories. Please select
the preferred division and
category for judging. Priorities will be honored whenever
possible.
Division*:
Note:
Categories for 2024. For an explanation and category
descriptions, click
here
(S)=Senior Division, (J)=Junior Division, (E)=Elementary
Division
New Category1:
New Category2:
New Category3:
Professional Award Judging (instead of above categories)
Will be judging for professional awards rather than category
awards (like DTE, IEEE, etc) and will
not be available for category award judging
Name of Professional Organization:
Select one or more
sessions Roughly 75% of judges needed will be In Person Judges.
Please select IN PERSON if possible
VIRTUALLY - Session 0 Display/Safety Round -Done Virtually (3/8/24
to 3/10/24) - FULL - DO NOT SELECT
VIRTUALLY - Session 1 Judging
of all virtually entered students (3/11/24 to 3/16/24,
anytime) FULL - DO NOT SELECT
IN PERSON - Session
0 Display/Safety Round 3/19/24 (8 AM to 7 PM)
IN PERSON -
Session 1 Judging, All Day, 3/20/24, 8 AM to 4:30 PM
IN PERSON -
Session 1 Judging, Morning ONLY, 3/20/24, 8 AM to 1 PM
IN PERSON - Session 2 Judging PM Only 3/20/24,
12:45 PM to 4:30 PM
MICHIGAN (Statewide) SF, In
Person, Sat, 4/6/2024 at Lawrence Tech University, 8 AM to 5 PM
Sorry - I will not be able to participate this
year
To receive a confirmation email, please check here:
Background Check Authorization and
information
I
consent to have a background check performed on me. I
understand that a background check is required because of the
interaction with underage students. All of the additional
information below is required for SEFMD to conduct a background
check with the Michigan State Police. Information is
stipulated by the Internet Criminal History Access Tool (iChat)
of the MSP..
Sample ichat input screen
Full Legal Name*:
Date of Birth*: mm/dd/yyyy
Gender*: Male
Female
Ethnicity*:
I hereby acknowledge that by submitting this application on-line, I
agree to serve as a judge for the Science and Engineering Fair or Metro
Detroit and/or the Michigan Science and Engineering Fair. I also agree to conduct myself ethically and responsibly at
all times during the fair. To that end, I agree to notify the Judging Chair
immediately if I become aware of any circumstance, including personal
familiarity with an finalist, that would potentially compromise my
ability to evaluate all finalist' projects without bias or prejudice.
If submitting by mail, please send this application to:
SEFMD
ATTN: Judging Chairman
P.O. Box 158
Farmington, MI 48332-0158