Restricted Project Checklist

The science fair project you have chosen to conduct has been determined to be restricted. Before you begin the experiment you will need to complete and submit the following form(s) seeking approval from the Kern County Science Foundation. Once completed forms are submitted, I will fax Kern County Superintendent of Schools Office. Upon notice, I will share the results of the Scientific Review Committee. If your project has been approved, you then may begin to conduct your science experiment. Be sure to wait until you are given approval.

All forms are now available on-line as PDF files with fields in which to type responses. All project entry forms must be completed using these forms. Once the fields are completed, the forms must be printed out for signatures and returned with this form to Mrs. Reynolds.

Go to: http://ci.kern.org/sciencefoundation

 Science Fair Forms

 4-5 grade forms

 6-12 grade forms

o Qualified Scientist or Designated Supervisor Form

o Human Subjects Form

o Informed Consent Form

o Certification of Humane Treatment of Live Animals Form (6th grade only)

o Human, Animal Tissue, and Microorganisms Form

If you have questions or need assistance, please email [email protected] or call 665-8099.

Mrs. Reynolds

Kern County Superintendent of Schools Office Eldred Marshall

Student name: ______

Nancy Reynolds

Ronald Reagan Elementary

Grade _____

Home phone ______

Email Address______

Parent/guardian name______