First Name :

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H A R M O N Y S C I E N C E A C A D E M Y

5651 Westcreek Dr Ft. Worth, TX 76133  Tel: 817.263.0700  Fax: 817.263.0705

HSA-FW Science Fair Judge Application Form

First Name * :

Last Name * :

Email * :

Telephone * :

Other contact method information/preference :

Title/Job :

Area of Profession :

Highest Degree

Completed :

__ I accept your invitation to be a judge on Saturday morning, January 8, 2011 (9:00 am to 12:30 pm, briefing and breakfast will start at 8:30 am)

__ I am parent of (a) HSA student(s): …………………………………………………………………………

__ I would like to mentor students.

I am capable of judging the following categories

(Please mark as:

_X_

)

:

_ __ Animal Sciences (Development, Ecology, Animal Husbandry, Pathology, Physiology, Population Genetics, Systematics)

_ __ Behavioral and Social Sciences (Clinical & Developmental Psychology, Cognitive Psychology, Physiological

Psychology, Sociology)

_ __ Biochemistry (General Biochemistry, Metabolism, Structural Biochemistry)

_ __ Chemistry (Analytical Chemistry, Inorganic Chemistry, Organic Chemistry, Physical Chemistry, General Chemistry)

_ __ Computer Science (Algorithms, Data Bases, Artificial Intelligence, Networking and Communications, Computational

Science, Computer Graphics, Software Engineering, Programming Languages, Computer System, Operating System)

_ __ Earth Science (Climatology, Weather, Geochemistry, Mineralogy, Paleontology, Geophysics, Planetary Science,

Tectonics)

_ __ Engineering: Materials & Bioengineering (Bioengineering, Civil Engineering, Construction Engineering, Chemical

Engineering, Industrial Engineering, Processing, Material Science)

_ __ Engineering: Electrical & Mechanical (Electrical Engineering, Computer Engineering, Controls, Mechanical

Engineering, Thermodynamics, Solar, Robotics)

_ __ Energy & Transportation (Aerospace and Aeronautical Engineering, Aerodynamics, Alternative Fuels, Fossil Fuel

Energy, Vehicle Development, Renewable Energies)

_ __ Environmental Analysis and Management (Air Pollution and Air Quality, Soil Contamination and Soil, Quality, Water

Pollution and Water Quality, Bioremediation, Ecosystem Management, Environmental Engineering, Land Resource

Management, Forestry, Recycling, Waste Management)

_ __ Mathematical Sciences (Algebra, Analysis, Applied Mathematics, Geometry, Probability and Statistics)

_ __ Microbiology (Antibiotics, Antimicrobials, Bacteriology, Microbial Genetics, Virology)

_ __ Medicine and Health Sciences/Cellular and Molecular Biology (Cellular Biology, Cellular and Molecular Genetics,

Immunology, Molecular Biology, Diseases Diagnosis and treatment, Epidemiology, Genetics, Molecular Biology of

Diseases, Physiology and Pathophysiology)

_ __ Physics and Astronomy (Astronomy, Atoms, Molecules, Solids, Biological Physics, Instrumentation and Electronics,

Magnetics and Electromagnetics, Nuclear and Particle Physics, Optics, Lasers, Masers, Theoretical Physics,

Theoretical or Computational Astronomy)

_ __ Plant Sciences (Agriculture/Agronomy, Development, Ecology, Genetics, Photosynthesis, Plant Physiology, Plant

Systematics, Evolution)

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