2020 Tri-State Science and Engineering Fair Judge Registration
Thank you for helping us make this event a success by volunteering as a judge at the Tri-State Science and Engineering Fair at the University of Southern Indiana on March 12, 2020 from 5-8 pm. We cannot pull this off without you! Please complete the following form. Information will be printed in promotional material exactly as it is submitted in this form. More information regarding judging assignments, scheduling, and child protection policy screening will be provided via e-mail as soon as it is available.
Title
First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Primary E-mail Address *
Your answer
Secondary E-mail Address
In the event that the primary email provider rejects messages.
Your answer
Employer/Organization - Please type this exactly as you would like it printed on your nametag. *
Your answer
USI Employee ID Number (USI employees only - for internal Child Protection Policy verification use)
Your answer
Are you a USI student? *
Required
Area(s) of Expertise *
Your answer
Please select the division(s) that you would like to judge. *
You may select more than one.
Required
Please select the category(ies) that you would like to judge. *
You may select more than one.
Required
Who would you like your volunteer services reported to, if any?
Please provide a name and contact information. (e.g. Volunteer USI, Instructor, Employer)
Your answer
Dietary Restrictions
A meal will be provided during the judging session. Please let us know of any dietary restrictions so that we may accommodate your needs.
Your answer
Comments/Requests Regarding Judging
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy