Volunteer Grand Awards Judge Application

Hoosier Science and Engineering Fair 2015
Indianapolis, Indiana
Application to Serve as a Volunteer Grand Awards Judge

Submission of this form is a statement of your willingness to serve as a Volunteer Grand Awards Judge at the Science and Engineering Fair Saturday April 5, 2014 All judging applicants must read and agree to the following statement prior to completing the application form.
I hereby acknowledge that by submitting this application, I agree to serve as a judge for the 2014 Hoosier Science and Engineering Fair. I agree to act in a positive and ethical manner in which each student encountered is treated fairly and respectfully. Privileged information or ideas that are obtained through my volunteer service will be kept confidential by me and I will not use such information or ideas nor disclose such information or ideas to third parties. I agree to disclose all conflicts of interest resulting from direct competitive, collaborative or other relationships with any of the students and to recuse myself from judging in such circumstances. In conclusion, I agree to notify the Judging Coordinator immediately if I become aware of any circumstance that would potentially compromise my ability to attend the event or evaluate students' projects.
I agree to hold myself accountable to the above statement.
 

The Science Education Foundation of Indiana is the non-profit agency that conducts this event, and sets the following criteria for becoming a judge:

SELECT THE DIVISION FOR WHICH YOU ARE APPLYING TO BECOME A JUDGE:

High School Division: (grades 9-12)
 "Judges must have a B.A., B.S. or a master's degree with a minimum of three years related professional experience OR a Ph.D., M.D., or equivalent. Judges may include university faculty, corporate scientists and engineers, representatives of private, state and federal research centers and agencies, and medical researchers. Affiliated science fair directors, Affiliate Regional Fair official party members, individuals traveling to the HSEF with an official party, parents or relatives of a student competitor, chaperones, mentors or elementary or secondary teachers may not be eligible to judge. "
 
Junior/Elementary Division: (grades 4-8)
  "Judges must at a minimum be enrolled in an accredited university or college or have a B.A., B.S. or a master's degree, OR a Ph.D., M.D., or equivalent. Judges may include high school science teachers, university faculty, corporate scientists and engineers, representatives of private, state and federal research centers and agencies, and medical researchers. Affiliated science fair directors, Affiliate Regional Fair official party members, individuals traveling to the HSEF with an official party, parents or relatives of a student competitor, chaperones, mentors or elementary teachers may not be eligible to judge. "
   
Special Awards Judge
  Choose this if you are representing a special awards organization or if you are volunteering to work with the special awards selection committee.
 
Please note: Judges are expected to be available from 8:00 am through 4:00 pm to complete their judging assignments. Please provide the information requested below if you desire to be a judge. We will contact you by email after we receive your application. Thank you for your participation.
Please be sure to submit your complete name, full mailing address, at least one phone number where you can be reached and most important, if available, your e-mail address.
Prefix:
First Name:
Last Name:
Postfix: (Jr, Sr, Ph.D, etc)
Note: Please enter your home address.
Address:
Address 2:
City:
State:
Zip/Postal Code:
Home Phone:
Work Phone:
Mobile Phone:
Email:
Verify Email:
Gender: Male Female
Ethnicity (Optional):
Current/Most Recent Employer:
Type of Employer:
Are you retired? No Yes
Job Title:
Years Professional Experience:
Previous Judging Experience:
Highest Degree Obtained:
Degree From:
Primary Area of Expertise:
You must provide your first, second and third choice of category qualified to judge.
Primary Category:
Second Category:
Third Category:
Diet:
Guest Parking Pass Required: No Yes Parking passes will be distributed at check in.
(IU, Purdue and IUPUI faculty members parking passes are valid on all IUPUI parking lots)
Please note that the SEFI is unable to monetarily support Judges' travel or housing at this time.
Are you a member of a Regional affiliated fair's official party, an individual traveling to the HSEF with an official party, a parent or relative of a finalist, a chaperone, a mentor or an elementary or secondary teacher?
  No Yes