Regulated Research Institutional/Industrial Setting Form (1C)
This form must be completed after experimentation by the adult supervising the
student research conducted in a regulated research institution, industrial
setting or any work site other than home, school or field.
This form MUST be displayed with your project; Responses must be on the form
Student’s Name
______________________________________________________________
Title
of Project
______________________________________________________________
To be completed by the Supervising Adult in the Setting (NOT the Student) after experimentations: (Responses must remain on the form as it is required to be displayed at student’s project booth.)
The Student conducted research at my work site:
To use the equipment to perform experiment(s)/conduct research
How did the student get the idea for her/his project?
(e.g. Was the project assigned, picked from a list, an original student idea, etc.)
Have you reviewed the ISEF rules relevant to this project?
Yes No
Did the student work on the project as a part of a research group?
Yes No
If yes,
how large was the group and what kind of research group was it (students, group
of adult researches, ect.)
What specific procedures or equipment did the student actually use for the project.
Please list and
describe. (Do not list procedures student
only
observed.)
How independent or creative was the student’s work?
Student research projects dealing with human subjects, vertebrates animals or
potentially hazardous biological agents require review and approval by an
institutional regulatory board (IRB/IACUC/IBC).
Copy
of approval(s) must be attached, if applicable.
____________________________ ____________________________ __________________________
Supervising Adult’s Printed Name Signature Title
________________________________________________________ ____________________________
Institution Date Signed
________________________________________________________ ____________________________
Address Email/Phone