OFFICIAL 67
th
SSEF OF FLORIDA ABSTRACT & CERTIFICATION
Project Title
(must match Display & Entry Title):
Student/Team Leader Name
School, City, State
Category
Pick one only- -
Mark an “X” in
Box at right
Animal Sciences
Behavioral &
Social Sciences
Biomedical &
Health Sciences
Cellular/Molelcular
Biology &
Biochemistry
Chemistry
Earth &
Environmental
Sciences
Engineering
Environmental
Engineering
Intelligent Machines,
Robotics & Systems
Software
Mathematics &
Computational
Sciences
Microbiology
Physics and
Astronomy
Plant Sciences
1. As a part of this research project, the student directly handled, manipulated, or interacted with (check ALL that apply):
human subjects potentially hazardous biological agents
vertebrate animals microorganisms rDNA tissue
2. This abstract describes only procedures performed by me/us, reflects my/our own independent research, and one year’s work only.
Yes No
3. I/we worked or used equipment in a regulated research institution or industrial setting. Yes No Form 1C required
4. This project is a continuation of previous research.
Yes No Form 7 required
5. The display board includes non-published photographs/visual depictions of
humans (other than myself ):
Yes No
6. All photos on display were taken by: (check ALL that apply) Citation required on display
Researcher(s) Research Teacher(s) Parent(s) Other
7. All charts/graphs/illustrations were produced by the researcher(s). Citation required on display
YES NO
I/We hereby certify that the above statements are correct and the information provided in the Abstract
is the result of one year’s research. I/We also attest that the above properly reflects my/our own work.
______________________________ __________________
Finalist or Team Leader Signature Date
FOR
OFFICIAL
USE ONLY
