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SUPERVISING SCIENTIST CERTIFICATION - This form must be completed by the

supervising scientist. The form should be included as the second to last page of
your paper.

Texas Junior Science and Humanities Symposium

Student Name:

1. State the origin of the project idea. (i.e. assigned by a teacher, chosen from a list of possibles, student suggestion,
arose from a discussion with peers or a teacher, continuation from previous work, etc.)

2. Did the student work on the project as a team member?         ___YES     ___NO

If yes, state the size of the team, the other types of participants (student, professional researchers, etc.), and describe
the student's role on the team.

3. Assign percentages to the various parts of the project indicating approximate level of student independence.

 Experimental design Use of special equipment

Gathering data Results/Discussion
Choice of techniques Construction of equipment
Evaluation of data

4. State the areas of the project (using the list in 3 above) in which the student showed creativity and ingenuity.

5. State whether or not the student received a salary or other compensation for this research.

Additional comments:

Date:

Signature of Supervising Scientist:

Name and Title of Supervising Scientist:

Institution:

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