Brownsville Independent School District
2013-2014
Elementary Science Fair Booklet
Timeline
Rules
Required Entry Forms
1
Table of Contents
INTRODUCTION .................................................................................................................................................. 3
BISD Elementary Science Fairs on November 9, 2013 .......................................................................................... 4
Elementary Science Fair Schedule of Events ......................................................................................................... 5
Entry Due Dates .................................................................................................................................................. 5
Schedule of Events .............................................................................................................................................. 5
Elementary Science Fair Cluster Sites 2013-2014.................................................................................................. 6
Elementary Campus Responsibilities ....................................................................Error! Bookmark not defined.
Science Fair Applications and Forms……………………………………………………………………………14
Scientific Safety Committee…………………………………………………………………………………….28
2
Introduction and Thank You
The Elementary Science Fair continues to be one of the best opportunities for students to
explore and share their ideas about how the world works. Students use active inquiry to ask
questions, make predictions, test their ideas, and communicate their findings. These
investigations help students come to a deeper understanding of key science concepts. By
communicating their ideas, they develop presentation skills and self-confidence. The BISD
Elementary Science Fair is truly a great educational and motivational activity.
The Brownsville Independent School District has a long history of participation in this
important event. Many students who completed projects in elementary science fairs have gone
on to compete in regional and international fairs, garner prizes and scholarships, and become
scientists, educators, and engineers in our community. The Elementary Science Fairs in the
Brownsville Independent School District continue to be the premier avenue for students to
express their scientific creativity and problem solving abilities.
At the Science Fair, the emphasis is on motivating students to continue their academic work and
supporting their intellectual curiosity. Judges and sponsors work hard to assure that students
receive encouraging feedback. We wish to thank all those individuals and groups that continue
to support and nurture the scientific interests of our children.
Bea Garcia
Administrator for Elementary Curriculum & Instruction
3
BISD Elementary Science Fairs on November 9, 2012
Elementary Host Campuses for 2013-2014:
Burns Elementary School, Cromack Elementary School, Benavides Elementary School,
and Villa Nueva Elementary School
Purpose:
 To increase student participation and interest in science
 To learn and apply Scientific Investigation and Reasoning
 To learn and apply problem solving skills
 To gain self confidence by participating in their research project and successfully communicating results
both visually and orally
Date and Location
The Annual Brownsville Elementary Science and Engineering Fairs will be held Saturday, November 9, 2012.
Set up and safety check is on November 8, 2012. Students will compete in their respective clusters.
Eligibility
Third, fourth, and fifth grade students enrolled in any of the district’s public elementary schools are eligible in
this year’s Elementary Science Fair.
Students may submit projects written in Spanish.
Students must meet U.I.L. eligibility requirements. Campus administration must verify eligibility.
(The NO PASS, NO PLAY rule applies.)
Selection
Each campus can enter projects for each grade level: two (2) in Life Science, two (2) in Earth Science, two (2)
in Physical Science, and three (3) Team Projects (a total of 9 projects).
Projects are to be selected through a campus selection process.
The campus selection process will be at the discretion of the school. It is highly recommended that the students
go through a process similar to the Elementary Science Fair.
Team Projects: No more than three students can compete in a Team project.
Required Forms
Individual and Team entry forms along with forms 1A, 1B, 1C (if applicable), Human Subject Form 4 (if
applicable), MSDS (if applicable), and a sample of survey or questionnaire (if applicable), will be reviewed by
the Cluster Scientific Review Committee (CSRC) composed of the Campus Coordinators and representatives of
the Department of Curriculum and Instruction on October 29, 2013. Completed surveys or questionnaires
must be available for review on November 8, 2013 at check-in, if applicable,
Students must keep the Form 1A, Form 1B, 1C (if applicable), Human Subject Form 4 (if applicable), MSDS (if
applicable), and Completed surveys or questionnaires with the display on the day of the competition. Forms
MUST be kept in a separate folder in case the judges need to see them. SEE SECTIONS ON REQUIRED
FORMS.
4
Elementary Science Fair Schedule of Events
Entry Due Date is October 29, 2013
Entries with all appropriate forms must be submitted to the Cluster Scientific Review Committee by each
Campus Science Fair Coordinator.
These forms include: Entry form,
Forms 1A, 1B, 1C (if applicable),
Human Subject Form 4 (if applicable),
MSDS (if applicable), Sample of survey or questionnaire (if applicable) and any other required paperwork are
due at this time.
Substitutions of science projects will not be accepted after the entry due date.
Cluster Scientific Review Committee Meetings for Elementary Science Fair Coordinators to finalize review of
all entry paperwork will be held on November 5, 2013.
Schedule of Events
October 29, 2013
Entry due date
Cluster Scientific Safety Review Committee
Meetings
November 5, 2013
Cluster SRC Final
Reviews
Cluster Scientific Safety Review Committee
Meetings
November 8, 2013
Safety review of displays
and setting up of projects
Cluster 1
Cluster 2
Cluster 3
Cluster 4
4:00 to 6:00 PM at
Cluster Elementary Science Fair locations:
Vela Middle School (Burns Hosting)
Faulk Middle School (Cromack Hosting)
Stillman Middle School (Benavides Hosting)
Manzano Middle School (Villa Nueva Hosting)
November 9, 2013
Judges’ Orientation and
Breakfast
Project Judging
Public Viewing
Award Presentations
Project Removal
8:00 to 9:00 AM
9:00 AM to 12:30 PM
12:30 PM to 1:30 PM
1:30 PM to 2:30 PM
2:30 PM
5
Elementary Science Fair Cluster Sites 2013-2014
Each year campuses compete in their designated clusters. Please check the list below to find out where your
campus will be competing on November 9, 2013.
We are truly grateful to all of the following secondary schools who have graciously agreed to host the
Elementary Science Fair at their campuses.
After reviewing the populations of each campus, the 37 BISD elementary campuses have been grouped into the
following four clusters:
Cluster 1
Host: Burns
Site: Vela MS
Cluster 2
Host: Cromack
Site: Faulk MS
Cluster 3
Host: Benavides
Site: Stillman MS
Cluster 4
Host: Villa Nueva
Site: Manzano MS
Aiken
Brite
Benavides
Del Castillo
Burns
Cromack
Breeden
Longoria
Champion
El Jardin
Canales
Pullam
Egly
Gallegos
Castañeda
Putegnat
Gonzalez
Garden Park
Garza
Resaca
Hudson
Keller
Martin
Sharp
Morningside
Peña
Perez
Southmost
Russell
Paredes
Palm Grove
Victoria Heights
Vermillion
Skinner
Ortiz
Villa Nueva
Yturria
The elementary campuses will rotate hosting the Elementary Science Fair on a yearly basis. Each cluster fair
will be held at the designated site. The Science Specialists will be responsible for revising this document
annually.
Cluster 1
Cluster 2
Cluster 3
Cluster 4
2012-2013
Gonzalez at Garcia
Champion at Perkins
Keller at Manzano
Southmost at Lucio
2013-2014
Burns at Vela
Cromack at Faulk
Benavides at Stillman
2014-2015
Vermillion at
Perkins
Skinner at Cummings
Breeden at Garcia
2016-2017
Hudson at Vela
Brite at Lucio
Palm Grove at
Besteiro
Villa Nueva at
Manzano
Victoria Heights at
Oliveira
Yturria at Stillman
6
All Campus’s Responsibilities
1.
All campuses must designate at least one Elementary Science Fair Coordinator. They are responsible
for attending all Elementary Science Fair planning meetings and trainings and helping to organize their
campus fairs. A second teacher will be used to review science fair paperwork on the second and third
dates.
2.
All campuses are responsible for setting up a Scientific Safety Committee (SSC). The Scientific Safety
Committee (SSC) consists of the following persons:
 teachers who teach science and have science fair experience (recommend one per grade level)
 a school administrator
 a school nurse and/or school counselor (who should sign as chair of the committee)
3.
The Scientific Safety Committee (SSC) examines projects for the following:
 projects are safe for students
 use of acceptable research techniques
 evidence of library research
 type and amount of supervision each project receives
 evaluate the potential physical or psychological risk of research involving human subjects
 humane treatment of animals
 compliance with rules and laws governing human and animal research.
 If any boxes are checked in from 1A, then these proposed projects must be reviewed and approved
by an SSC before experimentation/research begins. This includes any surveys or questionnaires to
be used in a project.
NOTE: It is the teacher’s and campus’ responsibility to make sure that all projects follow science
fair safety regulations and the BISD Elementary Science Fair rules. Student safety is a primary
concern when students are involved in independent research. The district SSC committee may
disqualify projects that are deemed unsafe according to the BISD Elementary Science Fair rules.
4.
All elementary campuses will be responsible for securing a minimum of four (4) individuals as
science fair judges at their cluster site competition. Teachers from the cluster campus may volunteer
to judge, but may not judge at the cluster where their campus is competing. Campuses are responsible
for working out “trade agreements” with a campus from another Science Fair Cluster. A form is
provided for each campus to turn in with the names of the judges that will report to their Cluster site and
committee members needed to successfully conduct a science fair.
5.
All participating campuses will have at least two teachers on each of the following committees:
 Score Verification Committee: Members’ main responsibility is to help verify judges’ scores.
 Safety/Display Committee: Members’ main responsibility is to make sure that all projects are in
accordance with safety and display rules.
 Student Monitoring Committee: Members’ main responsibility is to monitor the students in the
judging location during judging.
7
Hosting Campus’s Responsibilities
1.
2.






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Hosting campuses will be responsible for the following:
arrange for site preparations with the assigned middle school
arrange for custodial staff (District pays up to 20 hrs. total overtime)
arrange for A/C and access during set up on the Friday before and A/C all day on the date of the fair
arrange for security on the day of the fair
ensure facilities, including restrooms, are well-prepared and equipped (paper towels, etc.) with adequate
custodial support
arrange for the holding rooms or area for student participants
arrange for and set up drinks (sodas and water) for score verification committee members and judges
set up a judges’ hospitality room and a separate score verification room
set up area for projects (gym floor covering if necessary)
set up tables and chairs for projects
assign a committee of teachers to help sign in projects on the designated registration days
designate a place for the awards presentation and set up equipment i.e, microphone, podium, etc…



The hosting campus may do any of the following, if desired:
sell snacks and drinks to participants and the public
plan for student intercession activities
host cluster meetings to discuss preparations for the event
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8
Participants Matrix- Cluster 1, 2, and 4
Each grade level is eligible to submit 2 projects per individual category and 3 projects per group category. A
campus is eligible to submit 27 projects.
Entries per Campus
Grade
Life
Earth
Physical
Group
Total
3
4
5
2
2
2
2
2
2
2
2
2
3
3
3
9
9
9
Total
6
6
6
9
27
Cluster (1, 2, and 4) science fair may have up to 243 projects. Cluster 3 science fair may have up to 270
projects.
Entries Per Category and Table Matrix
(Calculated using the maximum number of possible entries)
# of Entries
# of Tables*
Categories
3rd Life
3rd Earth
3rd Physical
3rd Group
18 (20)
18 (20)
18 (20)
27 (30)
5 (6)
5 (6)
5 (6)
10 (12)
Subtotal
81 (90)
25 (30)
4th Life
4th Earth
4th Physical
4th Group
18 (20)
18 (20)
18 (20)
27 (30)
5 (6)
5 (6)
5 (6)
10 (12)
Subtotal
81 (90)
25 (30)
5th Life
5th Earth
5th Physical
5th Group
18 (20)
18 (20)
18 (20)
27 (30)
5 (6)
5 (6)
5 (6)
10 (12)
Subtotal
81 (90)
25 (30)
243 (270)
75 (90)
Total Entries/Tables
*(4 Projects per table)
9
Science Fair Project Judging Criteria
Scientific Thought (30 points-Individual; 25 points-Team)
Does the project follow the scientific method? (Hypothesis, method, data, conclusion)
Is the problem clearly and unambiguously stated?
Are the procedures appropriate, organized, and thorough?
Is the information collected accurate and complete?
If controls were necessary, did the student recognize their need and were they correctly used?
Are the variable clearly recognized and defined?
Are the conclusions accurate and based upon the results?
Does the project show the child is familiar with the topic?
Does the project represent real study and effort?
Is a list of references or bibliography available?
Creative Ability (30 points-Individual; 25 points-Team)
How unique is the project?
Does the exhibit show original thinking or a unique method or approach?
Is it significant and unusual for the age of the student?
Does the project demonstrate ideas arrived by the child?
Does it give that impression?
Thoroughness (15 points-Individual; 12 points-Team)
How many times was the investigation performed?
Does the display physically demonstrate the operation or results of the project?
Have the variables affecting outcome been identified?
Are materials listed specifying accurate amounts?
Is the sample large enough?
Skill (15 points-Individual; 12 points-Team)
How well did the student design and construct the exhibit?
Is the display visually appealing?
Does the project show effort and good craftsmanship by the student?
Has the student acknowledge help received from others?
Clarity (10 points-Individual)
Did the student clearly communicate the nature of the problem, how the problem was solved, and the
conclusions?
Are the problems, procedures, data, and conclusions presented clearly and in a logical order?
Did the student clearly and accurately articulate in writing what was accomplished?
Is the objective of the project likely to be understood by one not trained in the subject area?
Is attention sustained by the project and focused on the objective?
Teamwork (16 points-Team)
10
BROWNSVILLE INDEPENDENT SCHOOL DISTRICT
ELEMENTARY SCIENCE FAIR
Individual Project Score Form
Category: _______________________________________
Judge: __________________________________________
Project
Number
Scientific
Thought
30 pts.
Creative
Ability
30 pts.
Thoroughness
15 pts.
Skill
15 pts.
Clarity
10 pts.
Total
Points
11
BROWNSVILLE INDEPENDENT SCHOOL DISTRICT
ELEMENTARY SCIENCE FAIR
Team Project Score Form
Category: _______________________________________
Judge: __________________________________________
Project
Number
Scientific
Thought
25 pts.
Creative
Ability
25 pts.
Thoroughness
12 pts.
Skill
12 pts.
Clarity
10 pts.
Teamwork
16 pts.
Total
Points
12
BROWNSVILLE INDEPENDENT SCHOOL DISTRICT
ELEMENTARY SCIENCE FAIR
Score Composite Sheet
Date: ___________________________________________
Category: _______________________________________
Project
Number
Judge
#_____
Judge
#_____
Judge
#_____
Judge
#_____
Total
Points
Place or
Award
13
Science Fair Applications
And
Forms
14
Judges and Committee Members Form
Cluster: ____________________________
School: ____________________________
Please Return by October 29, 2013
Judges: (Identify and confirm at least 4 members)
Saturday, November 9, 2013 8:00 a.m.-1:00 p.m.
Name
Campus Representing
Email Address
Telephone No.
Score Verification Committee Members: (Identify and confirm at least 2 members)
Saturday, November 9, 2013 9:00 a.m.-1:00 p.m.
Name
Grade
Comments
Safety/Display Committee Members: (Identify and confirm at least 2 members)
Friday, November 8, 2013 3:30 p.m.-6:00 p.m.
Name
Grade
Comments
15
Student Monitoring Committee: (Campus must have representation for 5 hours)
Saturday, November 9, 2013 8:00 a.m.-1:00 p.m.
Name
Campus
Telephone No.
Monitoring Time
Principal’s Signature________________________________________________
16
Annual Elementary Science Fair
Individual Entry Form
Due Date: October 29, 2013
Type or print legibly. Fill in completely.
School:
Science Fair Cluster: 1
Exhibitor Name:
Phone Number:
2
3
4
Teacher Name:
Title of Exhibit:
Hypothesis:
Check One in Each Section Only
Grade:
Category:
Language:
3
Life Science
English
4
Earth Science
Spanish
5
Physical Science
Please read and sign below:
Principal, teacher, facilitator, and students have reviewed the rules of the Brownsville Elementary
Science Fair and agree to abide by these rules. The rules concern safety regulations, types of projects
which may be entered, display requirements and limits, animal project requirements, and other general
rules.
Principal’s Signature________________________
Student’s Signature_________________________
Teacher’s Signature_________________________
Parent’s Signature
Entries must be submitted to:
PK-12 Science Specialists’ Office
Curriculum and Instruction Department
1900 Price Rd., Suite 202
Brownsville, Texas 78521
17
Annual Elementary Science Fair
Group Entry Form (Limit three students per group)
Due Date: October 29, 2013
Each Team Member must complete an entry form. Type or print legibly and fill in completely.
School:
Science Fair Cluster: 1
Exhibitor Name:
Phone Number:
Exhibitor Name:
Phone Number:
Exhibitor Name:
Phone Number:
2
3
4
Teacher Name:
Title of Exhibit:
Hypothesis:
Check One in Each Section Only
Grade:
Language:
3
English
4
Spanish
Group projects may be in any category but
limited to three members per grade entry.
5
Please read and sign below:
Principal, teacher, facilitator, and students have reviewed the rules of the Brownsville Elementary
Science Fair and agree to abide by these rules. The rules concern safety regulations, types of projects
which may be entered, display requirements and limits, animal project requirements, and other general
rules.
Principal’s Signature________________________
Student’s Signature_________________________
Teacher’s Signature_________________________
Parent’s Signature
Entries must be submitted to:
PK-12 Science Specialists’ Office
Curriculum and Instruction Department
1900 Price Rd., Suite 202
Brownsville, Texas 78521
18
RESEARCH PLAN (1A)
This form is required of ALL projects.
Entries without a completed Research Plan will not be accepted.
Due Date: October 29, 2013
1. Student’s Name:
Grade: 3
2. School:
Science Fair Cluster: 1
3. Category:
Life Science
Earth Science
4
5
2
3
4
Physical Science
4. Sponsor Name:
5. Title of Exhibit:
6. Check ALL items that apply to your research. While doing my project, I will be experimenting with:
Humans: requires prior Scientific Safety Committee (SSC) approval and complete form 1C
Nonhuman Vertebrate Animals: requires prior SSC approval, complete Form 1C
Recombinant DNA: not allowed for student research in grades 3-5. Isolation of Plant DNA is allowed.
Pathogens: Pathogens are not allowed for student research in grades 3-5, including bread mold.
Bakers’ yeast may be used for student experiments with SSC approval form 1C)
Human/Animal Tissue: requires prior SSC approval form 1C; Only tissue such as meat or vegetables purchased at a grocery
store or similar store may be used by students for experimentation with SSC approval form 1C.
7. Problem and Hypothesis:
8. Materials: (Include all applicable MSDS sheets)
9. Procedure: (For human research, include survey or questionnaires if used.)
Additional Page May Be Attached If Needed
Student Signature:
Date: _____________________
SSC Chairperson Signature: ___________________
Date: __________________
19
APPROVAL FORM (1B)
This form is required of ALL projects
Due Date: October 29, 2013
1. Required for ALL projects.
a. Student Acknowledgment:
I understand the risks and possible dangers tome of the proposed Research Plan (1A). I will adhere to all
BISD rules when conducting this research.
Student’s Printed Name
______________________
_________________
Signature
Date Acknowledged
b. Parent/Guardian Approval:
I have read and understand the risks and possible dangers involved in the Sponsor-approved Research
Plan (1A). I consent to my child participating in this research.
Parent/Guardian’s Printed Name
_______________________
__________________
Signature
Date of Approval
c. Adult Sponsor Approval:
I have read and reviewed the Research Plan (1A) prior to experimentation with the student. I agree to
sponsor the student named above and assume reasonable responsibility for compliance with all BISD and
ISEF Science Fair rules
1)
I have reviewed and signed the Research Plan (1A).
2)
The student and a parent/guardian have signed the Approval Form (1B).
3)
This project involves the following area(s) and requires prior Scientific Safety Committee
(SSC) approval before experimentation begins (Form 1C).
Human Subjects (Form 4)
DNA isolated from plants
Nonhuman Vertebrates
Human or Animal Tissue
Pathogenic Agents*
Chemicals (MSDS Required)
*All bacteria, fungi, etc. should be considered potentially pathogenic and are not allowed, except Baker’s
yeast.
Adult Sponsor’s Printed Name
____________________
___________________
Signature
Date of Approval
Final Scientific Safety Committee (SSC) Approval (if applicable)
SSC approval before experimentation: I certify that this project adhered to the approved Research Plan
(1A) and complies with all rules of this BISD Science Fair.
Chairperson-SSC (printed name)
____________________
__________________
Signature
Date of Approval
20
SAFETY FORM (1C)
Due Date: October 29, 2013
Safety Committee Checklist
All projects are required to have forms 1A and 1B with appropriate signatures. It is the responsibility of the student
teacher and campus to assure that all projects are safe and pose no harm to the environment.
Check projects to assure that they pose no threat to student safety. Students should not begin any projects that include
humans, vertebrate animals, pathogens, human/animal tissue, isolating DNA from plants, controlled or hazardous
substances without SSC approval.
Possible concerns are:
Humans: (Includes surveys and any projects where humans are used as subjects) No risk should be apparent from the
project description. The experiment must pose no more harm or risk to students than daily life. Surveys and
questionnaires should not address issues that may cause psychological harm or invade personal privacy. Counselors
should be consulted regarding surveys. All human projects involving exercise or physical activity must be supervised
directly by the teacher sponsor at school and must have SSC signature. It is highly recommended that all human
subjects have prior parent consent before participating.
Nonhuman vertebrate Animals: No apparent harm or risk to the animals should be apparent. Only projects that
involve observing pets, zoo animals, or animals in their native environment will be permitted. Proper care of pets should
be documented in the student’s procedure. Wild animals should not be captured, disturbed or handled. Catch and release
projects are not allowed in grades 3-5. Students must consider using invertebrates such as insects. (Must have SSC
signature)
Recombinant DNA: No elementary school projects should involve Recombinant DNA. Isolating DNA from plants is
allowed. (Must have SSC chairperson signature)
Pathogens: Projects involving pathogens are not allowed in grades 3-5. Any culture (e.g. bacteria cultures or bread
mold) must be considered pathogenic. (Looking at pond water under a microscope may involve pathogens!) Only baker’s
yeast cultures are allowed with SSC approval of experimental design. (Must have SSC chairperson signature)
Human/Animal Tissue: Human blood should never be used by elementary students. Hair is suitable for use in
elementary projects. (Tanned leather, hair, dried bones, nails, and teeth are also permissible) (Must have SSC signature)
Chemicals: SSC members need to certify that no dangerous chemicals are used and that all chemicals are handled
properly under direct supervision. (MSDS Required)
The purpose of the Scientific Safety Committee (SSC) is to assure student safety. Any project that poses a threat to
students or others cannot be allowed to participate in the Elementary Science and Engineering Fair. This project has
been approved as safe by the campus SSC.
Chairperson-SSC (printed name)
____________________
__________________
Signature
Date of Approval
20
21
Human Subjects Form (4)
Required for all research involving human subjects. SSC approval required before experimentation.
Due Date: October 29, 2013
Completed surveys or questionnaires, if applicable, are due November 8, 2013 at check-in.
Student’s Name :
Title of Project:
To be completed by Student Researcher in collaboration with the Designated Supervisor/Qualified Scientist:
(All questions must be answered; additional page may be attached.)
1) Describe the purpose of this study and list all of the research procedures in which the subject will be involved. Include the duration
of the subject’s involvement. Attach any survey or questionnaire.
2) Describe and assess any potential risk or discomfort, and, if any, potential benefits (physical, psychological, social, legal or other)
that may be reasonably expected by participating in this research.
3) Describe the procedures that will be used to minimize risk, to obtain informed consent and/or assent, and to maintain
confidentiality.
For questions or concerns regarding this research, contact:
at
. (Adult Sponsor Email/phone)
To be completed by Science Safety Committee (SSC) prior to experimentation: Determination of risk, including
physical and psychological risks. MUST CHECK ONE OF THE BOXES
Minimal risk where informed consent is recommended, but not required. Justification for waiver of informed consent for
research with subjects less than 18 years of age must be attached.
Minimal risk where informed consent is REQUIRED.
More than minimal risk where informed consent & a Qualified Scientist are REQUIRED
SSC SIGNATURES (All three signatures are required; Conflict of interest must be avoided.)
1) Medical Professional: (MUST circle one) (a psychologist, psychiatrist, medical doctor, licensed social worker, physician’s asst., or registered nurse)
Printed Name (including title)
Signature
Date of Approval
Signature
Date of Approval
Signature
Date of Approval
2) Science Teacher:
Printed Name (including title)
3) School Administrator:
Printed Name (including title)
To be completed by Human Subject:
To be completed by Parent/Guardian:
I have read and understand the conditions and risks above and I
consent/assent to voluntarily participate in this research study.
I have read and understand the conditions and risks above and
consent to the participation of my child.
I realize I am free to withdraw my consent and to withdraw
from this study at any time without negative consequences.
I have reviewed a copy of any survey or questionnaire used in
the research.
I consent to the use of visual images (photos, videos, etc.)
involving my participation in this research.
I consent to the use of visual images (photos, videos, etc.)
involving my participation in this research.
22
Signature
Date
Signature
Date
Feria Anual de Ciencias Naturales Nivel Primaria
Forma de Entrada Individual
Favor de entregar antes de: 29 de octubre de 2013
Llene la forma con letra de molde
Escuela:
Grupo de Feria: 1
Expositor:
Número de Teléfono:
2
3
4
Maestro/a:
Título de la Exhibición
Hipótesis:
Marque uno de cada sección solamente:
Grado:
Categoría:
Escrito en:
3
Ciencias Biológicas
Inglés
4
Ciencias Terrestres
Español
5
Ciencias Físicas
Favor de leer lo siguiente y firmar en la línea adecuada:
El Director, el maestro, el Guía de Instrucción, y el estudiante han revisado las reglas de la Feria de
Ciencias Naturales a Nivel Primaria. Estas reglas conciernen las pólizas de seguridad y los tipos de
proyectos los cuales pueden ser parte de la exposición del estudiante. Incluyen también los requisitos de
tamaño, los requisitos de proyectos cuales incluyen animales, y otras reglas de tipo general.
Firma del Director
Firma del Expositor________________________
Firma del Maestro/a________________________
Firma del Padre
Estos documentos deben ser entregados a:
PK-12 Science Specialists
Curriculum and Instruction Department
1900 Price Rd., Suite 202
Brownsville, Texas 78521
23
Feria Anual de Ciencias Naturales Nivel Primaria
Forma de grupo (Limite tres estudiantes por grupo)
Favor de entregar antes de: 29 de octubre de 2013
Cada miembro del equipo tiene que entregar esta forma.
Escuela:
Grupo: 1
Expositor #1:
Número de Teléfono:
Expositor #2:
Número de Teléfono:
Expositor #3:
Número de Teléfono:
2
3
4
Maestro/a:
Título de la Exhibición:
Hipótesis:
Marque uno de cada sección solamente
Grado:
Escrito en:
3
Inglés
4
Español
5
Los proyectos de grupo pueden ser de cualquier categoría pero solo tres de cada grado pueden ser
registrados
Favor de leer lo siguiente y firmar en la línea adecuada:
El Director, el maestro, el Guía de Instrucción, y el estudiante han revisado las reglas de la Feria de
Ciencias Naturales a Nivel Primaria. Estas reglas conciernen las pólizas de seguridad y los tipos de
proyectos los cuales pueden ser parte de la exposición del estudiante. Incluyen también los requisitos de
tamaño, los requisitos de proyectos cuales incluyen animales, y otras reglas de tipo general.
Firma del Director
Firma del Expositor________________________
Firma del Maestro/a________________________
Firma del Padre
Estos documentos deben ser entregados a:
PK-12 Science Specialist
Curriculum and Instruction Department
1900 Price Rd. , Suite 202
Brownsville, Texas 78521
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Plan de Estudio (1A)
TODOS los proyectos requieren ésta forma.
Proyectos que no tienen ésta forma completa, no pueden entrar.
Favor de entregar antes de: 29 de octubre de 2013
1. Nombre del Estudiante:
Grado: 3
4
2. Escuela:
Grupo: 1
2
3. Tipo de proyecto:
Ciencias Biológicas
Ciencias Terrestres
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3
4
Ciencias Físicas
4. Patrocinador (adulto):
5. Título del Proyecto:
6. Marque TODOS los que apliquen a la investigación. Cuando lleve a cabo mi proyecto, voy a estar
experimentado con:
Humanos: requiere autorización previa del Comité Científico de Seguridad (SSC) y la forma 1C
Animales con Vertebras: (No humanos): requiere autorización previa del Comité Científico de Seguridad (SSC) y la forma 1C
Recombinados de ADN : no están permitidos para uso de estudiantes a nivel primaria. Extractos de ADN de plantas son permitos.
Patógenos: El uso de patógenos no son permitidos para uso de estudiantes a nivel primario. Estos patógenos incluyen el moho de
pan. Los estudiantes pueden usar levadura en sus experimentos, siempre y cuando obtengan la autorización previa del SSC y hayan
llenado la forma 1C)
Tejidos de origen Humano/Animal: estos requieren autorización previa del SSC y la forma 1C; solo tejidos como la carne o los
vegetales comprados en el supermercado o tienda similar pueden ser usados por el estudiante en su experimento con autorización
previa del SSC y la forma 1C.
7. Problema e Hipótesis:
8. Materiales: (Incluyendo las formas MSDS)
9. Procedimientos: (Para las investigaciones cuales incluyen a seres humanos, favor de incluir los cuestionarios si estos fueron
usados.)
Firma del Estudiante___________________
Fecha
Firma del Presidente del SSC
______________________
Fecha
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FORMA de APROVACION (1B)
TODOS los proyectos requieren ésta forma
Favor de entregar antes de: 29 de octubre de 2013
1. Requerida para TODOS los proyectos.
a. Reconocimiento del Estudiante:
Entiendo los riesgos y peligros de mi plan de estudio propuesto en el PLAN DE ESTUDIO (1A). Estoy
de acuerdo a seguir todas las pólizas de BISD al llevar a cabo mi investigación.
Nombre del Estudiante
______________________
_________________
Firma
Fecha
b. Aprobación de los Padres o Guardián:
He leído y entiendo los riesgos y posibles peligros que implica el Plan de Estudio (1A) aprobado por el
Patrocinador (adulto). Doy mi consentimiento para que mi hijo/a lleve a cabo esta investigación.
Nombre del Padre/Madre
_______________________
__________________
Firma
Fecha de Aprobación
c. Aprobación del Patrocinador:
He leído y revisado el Plan de Estudio (1A) antes de que el estudiante lleve a cabo su experimento.
Estoy de acuerdo a ser el patrocinador del estudiante ya mencionado y asumo responsabilidad a seguir
las reglas establecidas por BISD y las reglas de la Feria de Ciencias del ISEF.
1)
Yo he revisado y firmado el Plan de Estudio (1A).
2)
El estudiante y los padres de familia han firmado la Forma de Aprobación (1B).
3)
Este proyecto implica las siguientes áreas que requieren aprobación previa del Comité
Científico de Seguridad (SSC) antes de que el experimento se lleve a cabo. (Forma 1C).
Seres Humanos (Forma 4)
Vertebrados (no humanos)
Patógenos *
ADN de plantas
Tejidos de Origen Humano ó Animal
Químicos (necesitan formas MSDS)
* Todas las bacterias, mohos, etc. deben ser considerados como patógenos potenciales y no son permitidos, con
excepción de levadura para hornear.
Patrocinador
2.
____________________
___________________
Firma
Fecha de Aprobación
Aprobación Final del Comité Científico de Seguridad (SSC). (Si es necesario)
La aprobación del SSC antes de experimentación: Yo certifico que éste proyecto sigue el Plan de Estudio
(1A) y cumple con todos los reglamentos de la Feria de Ciencias de BISD.
Presidente-SSC
____________________
__________________
Firma
Fecha de Aprobación
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Forma para el uso de Sujetos Humanos (4)
Favor de entregar antes de: 29 de octubre de 2013
Todos los cuestionarios o encuestas deben estar completas y entregadas el 19 de octubre de 2012 con el proyectó.
Requerida por todos los proyectos cuales incluyen seres humanos en su investigación. La aprobación del
SSC es requerida ANTES de llevar a cabo el experimento.
Nombre del Estudiante:
Título del Proyecto:
El estudiante y el Patrocinador deben colaborar para responder las siguientes preguntas:
(Todas las preguntas deben ser contestadas completamente, si es necesario favor de usar otra página)
1) Describe el propósito de esta investigación y todos los procedimientos a seguir en cual el sujeto humano va a ser implicado. Incluye
el tiempo el cual el sujeto va a ser involucrado en la investigación. Si se uso un cuestionario o una encuesta favor de agregarla.
2) Describe los riesgos y peligros potenciales, tal como malestares y también los beneficios potenciales, tal como físicos, sociales,
legales, o sicológicos.
3) Describe los procedimientos que vas a utilizar para aminorar los riesgos y obtener el permiso de éstos sujetos humanos.
Si tiene preguntas sobre esta investigación comuníquese con:
.
Patrocinador
Telefono
El Comité Científico de Seguridad debe llenar ésta forma ANTES de que el expositor comience su
investigación: La determinación de riesgo puede ser física o psicológica. INDIQUE EL NIEVEL DE RIESGO
Riesgo mínimo. El consentimiento del los padres por escrito es recomendado pero no requerido. Justificación para la renuncia
del consentimiento informado para la investigación con los temas bajo 18 años de la edad debe ser unido.
Riesgo mínimo El consentimiento de los padres es REQUERIDO.
Riesgo más que mínimo en cual el consentimiento del los padres y él un Científico Capacitado son REQUERIDOS.
Las TRES firmas son requeridas
1) Medical Professional: (MUST circle one) (a psychologist, psychiatrist, medical doctor, licensed social worker, physician’s asst., or registered nurse)
Printed Name (including title)
Signature
Date of Approval
Signature
Date of Approval
Signature
Date of Approval
2) Science Teacher:
Printed Name (including title)
3) School Administrator:
Printed Name (including title)
Participantes favor de llenar ésta sección:
Padres favor de llenar ésta sección:
Estoy consciente de las condiciones y riesgos. Doy
consentimiento para participar voluntariamente en ésta
investigación.
Estoy consciente que puedo dejar de participar en la
investigación sin consecuencias negativas a mi persona.
Doy mi consentimiento a él use de fotos y videos que son parte
de mi participación el ésta investigación.
Firma
Fecha
Estoy consciente y entiendo las condiciones y riesgos, doy
consentimiento para que mi hijo/a participe.
He leído la copia del la encuesta que se está usando en esta
investigación.
Doy consentimiento a él use de fotos o videos los cuales son
parte de la participación de mi hijo/a en esta investigación.
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Firma
Fecha
The Scientific Safety Committee (SSC)
The Scientific Safety Committee (SSC) consists of the following persons:
A)
a teacher who teaches science and has science fair experience
B)
a school administrator
C)
a school nurse and/or school counselor
The Scientific Safety Committee (SSC) examines projects for the following:
A)
B)
C)
D)
E)
F)
G)
projects are safe for students
use of acceptable research techniques
evidence of library research
type and amount of supervision each project receives
evaluate the potential physical or psychological risk of research involving
human subjects
humane treatment of animals
compliance with rules and laws governing human and animal research
If any boxes are checked in from 1A, then these proposed projects must be reviewed
and approved by an SSC before experimentation/research begins. This includes any
surveys or questionnaires to be used in a project.
It is the teacher’s and campus’ responsibility to make sure that all projects follow
science fair safety regulations and the BISD Elementary Science Fair rules. Student
safety is a primary concern when students are involved in independent research.
The district SSC committee may disqualify projects that are deemed unsafe
according to the BISD Elementary Science Fair rules.
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