Construction Proposal Form
SAN FRANCISCO BAY AREA SCIENCE FAIR SCIENTIFIC REVIEW COMMITTEE
PROJECT PROPOSAL FORM
This document must be completed by any student, grade 7 through 12, whose project involves
(even if only observing) human subjects, invertebrate or non-human vertebrate animals,
recombinant DNA, tissues, pathogenic agents, or controlled substances.
This form must
be completed, filed, and approved before starting your project and
no later than February 1.
When completed, mail this form to:
Greta Dahlke: 944 Reliez Station Rd., Lafayette, CA 94549
Student's Name: _____________________________________________ Grade: _______
Name of School: __________________________________________________________
Address of School: _________________________________________________________
Home phone #: ______________________ School phone #: ______________________
Where will you conduct your experimentation?
at school:_____ at home:_____ in the field:_____
at a research institution; e.g. university lab, medical center, industrial setting :_____
(If you plan to perform your work at a research institution, you must complete Section 6.)
7th, 8th, and 9th GRADERS
Check here _____ if you are working with humans and complete sections 1, 7, and 8.
Check here _____ if you are working with non-human animals, bacteria, or tissues and
complete sections 1, 7, and 8. Read Section 2 before completing Section 1.
10th, 11th, and 12th GRADERS
Check here _____ if your project involves humans and complete sections 1, 7, and 8.
Check here _____ if your project involves non-human vertebrates and complete sections 1, 4,
7, and 8. Read Section 2 before completing Section 1.
Check here _____ if your project involves bacteria or invertebrates and complete sections 1,
7, and 8. Read Section 2 before completing Section 1.
Check here _____ if your project involves recombinant DNA, pathogenic agents, or controlled
substances and complete sections 1, 4, 7, and 8. Read Section 3 before
completing Section 1.
Check here _____ if your project involves human or animal tissue and complete sections 1, 4, 5,
7, and 8. Read Section 5 before completing Section 1.
page 1 CONTINUE . . .
SECTION 1:
To be completed by all students filing this proposal form.
Page 1/4
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