NYSA Competition Entry Form 2009

Thank you for your interest and participation in the NATA Young Scientists Award 2009. The form below is to be completed by a teacher only when the class or individual has finished their experiment. Make sure you read the Award guidelines and rules before completing this stage.

Entry forms are to be submitted no later than 5pm on Friday 7 August 2009 to be eligible.

School Information

School Name:

School Address:

Email Address:

School Phone Number:

School Year Level:

Year 5 Year 6 Year 7

Individual (If applicable):

Class Name (e.g. 5H, 6B):

Number of Students in Class:

1-10

11-20

21-30

30+

Name of teacher/principal making application:

Type in the space below a brief summary of the experiment. It must be written by the individual or class members who did the experiment. Maximum 300 words. You might like to include:
What area of science you chose Why you chose this area What you expected to find out	How you conducted the experiment What you did find out Other things you think important to add


Declaration of originality and acceptance of Award rules The section below must be completed by the class teacher/principal. Please check the boxes as appropriate.
Yes I confirm this project is the students' or individual's own work Yes I accept the rules of NATA Young Scientists Award 2009 on behalf of the class or individual


Note: If you don't receive confirmation by email within seven days, please send your application by fax or post. Click here to download the application form.

NYSA Competition Entry Form 2009

School Information

Declaration of originality and acceptance of Award rules