New  Jersey  Academy  of  Science

RESPONSE FORM FOR JUDGES

The NJ Academy of Science’s annual meeting and student competition is being held on April 8, 2006 at New Jersey Institute of Technology, Newark, NJ FROM 8:00 AM until 2:00 PM.  Judges arrive by 8:30 a.m.  Lunch is provided to judges free of charge.

Please complete and return this form to:

New Jersey Academy of Science
Rutgers, The State University of New Jersey
215 Beck Hall, 99 Avenue E
Piscataway, New Jersey 08854-8040

 _______Yes, I am willing to judge the Junior Academy Presentations at the NJAS 51st Annual Research Meeting to be held on Saturday, April 8, 2006 at New Jersey Institute of Technology in Newark

 _______No, I am not able to judge the Junior Academy Presentations at the NJAS 51st Annual Research Meeting but please keep me on the mailing list.

 Name:

Address:

City/State/Zip:                                           

Daytime Phone number:                                                      Evening phone number:

Email:

Academic Institution or Corporation:

Position held:

DEGREES:

 

PLEASE DESCRIBE YOUR EXPERTISE:

 

 

CIRCLE THE DISCIPLINE(S) YOU WOULD LIKE TO JUDGE:  biology; chemistry/biochemistry; environmental science; mathematics; computing; physics; engineering; medicine; health; psychology; animal behavior; science, in general   

Would you consider giving a keynote speech at a future NJAS conference?  Yes  No

 

Would you consider sharing your expertise by attending a Breakfast with Scientists?  Yes  No

 

Would you consider hosting a Breakfast with Scientists at your place of employment?  Yes  No

This involves providing breakfast for up to 20 high school students who will be accompanied by chaperones.  It takes place on any weekday or weekend morning of your choice.  Registration and advertisement are handled by NJAS.