Florida Junior Academy of Science Chapter Application
Dues must be received by December 31st for students wanting to compete in the preliminary
competition on January 31st. The chapter affiliation allows two more students to submit paper.
Additional new members, must pay the late dues of $20. Sponsors will be sent the club cards, a receipt
and copies of the calendar when the newsletters will be posted on the website. A copy of each
newsletter will be sent to the sponsor.

Rate is $10/- per student and $40/- for the Chapter Registration

Checks should be written to FJAS or Florida Junior Academy of Science

This application must be filled out, Member list and payment with Subject (memo) line "School Name, # of members". should be sent (mailed) to:

Leya Joykutty, FJAS DIRECTOR, 11650 NW 21st ST, Plantation, FL 33323

EMAIL Member list to leyajoykutty@gmail.com

Please provide the following information for each student:
* First Name
* Last Name
* Grade in school
* Eligibility for the Gold Card**

**Students can receive the Gold Card if students have met at least TWO of the following criteria in the
previous year:
- > GPA of at least 3.0 (unweighted on a 4.0 scale)
- > Competed at FJAS
- > Competed at SSEF, ISEF, or FJSEHS
- > Attended a summer research program (ie: SSTP at UF)

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