The Seventh Annual
SPACE WEEK SCIENCE CHALLENGE
ENTRY FORM 

Name of School: ___________________________________________________________
  (For example - Ames Middle School)

Name of Participating Class and Grade Level: ______________________________
  (For example - 3rd period physical science - 8th Grade)

Name of Teacher Administering the Project: ________________________________

Contact Information: ______________________________________________________
E-mail address:      ______________________________________________________
Telephone number:    ______________________________________________________
Mailing address:     ______________________________________________________
		

Number of Students Participating: _______________________

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___  I wish to enter the teacher drawing for the trip to the SSEC on 1/31-2/02/08.

In entering, I agree that my district will release me and cover any substitute
expenses while I am at the conference.  In addition, I agree to conduct some
form of professional development to disseminate activities, lessons, or other
educational opportunities gained at the conference.  This could be done at the
building, district, AEA, or a professional meeting such as the Iowa Science
Teachers Fall Conference.

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How did you hear about the Space Week Science Challenge?

___  E-mail sent to school 
___  ISGC Web site
___  Newspaper
___  Radio
___  Other: _____________________________________________
		  (Please explain)

* Submit all teams' design logs along with this entry form.

* Entries must be mailed and postmarked no later than MONDAY, OCTOBER 29, 2007
  to the ISGC Office: 
			    Iowa Space Grant Consortium
			    Iowa State University
			    2271 Howe Hall, Room 2365
			    Ames, IA 50011-2271