Science and Engineering Fair of Metro Detroit

 Awards Judge Registration Information

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

 

Please enter your Name using the fields below:  

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 6th-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: 
Additional new categories for 2017.  For an explanation and category descriptions, click here
Category 1: 
Category 2:
Category 3:


Desired Judging Commitments:
   SEFMD Judging (Wed, March 15, 2017 (Michigan Hall (lower level)
     All Day (8:00 AM until 5:00 PM)         Lunch (Sandwich) provided if all day
If all day, do you want Lunch?   Yes    special diet?
     Morning only (8AM until 1:00 PM)              no Lunch
     Afternoon only (12:45 PM until 5:00 PM)    no Lunch
     UNABLE to judge SEFMD this year (keep me on the list for next year)
 
  Michigan Science & Engineering Fair (Sat, April 1, 2017 - Kettering University, Flint, Michigan 
      All Day (8AM until 5:00 PM)
      UNABLE to judge Michigan Science fair this year
  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:

To receive a confirmation email, check here: 

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

Phone: (248)-471-9900
Fax:      (248) 479-0383
eMail: judging2017 @ sefmd.org

Last Modified:  by