PJAS.info

Pennsylvania Junior Academy of Science

State Perseverance Awards

2017 PJAS State Perseverance Award Form
  1. Regional Directors and/or Sponsors,

    Please complete the following form for the Perseverance Awards and submit by April 17, 2017 so that I have time to complete the certificates before the State Meeting.

    Please check the spelling on the student's names, and please type the names as the students want them to appear on the certificate. The "number of years" is the number of times the student has participated in a state meeting including THIS year's meeting.

    Juniors are eligible for Perseverance Awards. For a Junior to be eligible, they must have participated at the PJAS State Meeting for either 4 or 5 years, including the present year.

    Everything is the same for seniors except that we have eliminated the three year Perseverance Award.

    If you have any questions, please email me at lacoecl@wallenpaupack.org or call me at 570-226-4557 X3173.
  2. Submitter's Name*
    Please enter your name.
  3. Region (Regional Director[s])*
    Please select the Region (and Regional Director[s]).
  4. You will receive a confirmation email, so please enter a VALID email address to ensure that you receive it.
  5. E-mail Address*
    Please enter a valid email address.
  6. Confirm E-mail Address*
    Please re-enter a valid email address.
  7. Candidate 1
  8. Name*
    Please enter a Name for Candidate 1.
  9. Grade*
    Please select the Grade for Candidate 1.
  10. Number of Years*
    Please select the Number of Years for Candidate 1.
  11. Candidate 2
  12. Name
    Invalid Input
  13. Grade
    Invalid Input
  14. Number of Years
    Invalid Input
  15. Candidate 3
  16. Name
    Invalid Input
  17. Grade
    Invalid Input
  18. Number of Years
    Invalid Input
  19. Candidate 4
  20. Name
    Invalid Input
  21. Grade
    Invalid Input
  22. Number of Years
    Invalid Input
  23. Candidate 5
  24. Name
    Invalid Input
  25. Grade
    Invalid Input
  26. Number of Years
    Invalid Input
  27. Candidate 6
  28. Name
    Invalid Input
  29. Grade
    Invalid Input
  30. Number of Years
    Invalid Input
  31. Candidate 7
  32. Name
    Invalid Input
  33. Grade
    Invalid Input
  34. Number of Years
    Invalid Input
  35. Candidate 8
  36. Name
    Invalid Input
  37. Grade
    Invalid Input
  38. Number of Years
    Invalid Input
  39. Candidate 9
  40. Name
    Invalid Input
  41. Grade
    Invalid Input
  42. Number of Years
    Invalid Input
  43. Candidate 10
  44. Name
    Invalid Input
  45. Grade
    Invalid Input
  46. Number of Years
    Invalid Input
  47. Candidate 11
  48. Name
    Invalid Input
  49. Grade
    Invalid Input
  50. Number of Years
    Invalid Input
  51. Candidate 12
  52. Name
    Invalid Input
  53. Grade
    Invalid Input
  54. Number of Years
    Invalid Input
  55. Candidate 13
  56. Name
    Invalid Input
  57. Grade
    Invalid Input
  58. Number of Years
    Invalid Input
  59. Candidate 14
  60. Name
    Invalid Input
  61. Grade
    Invalid Input
  62. Number of Years
    Invalid Input
  63. Candidate 15
  64. Name
    Invalid Input
  65. Grade
    Invalid Input
  66. Number of Years
    Invalid Input
  67. Please type the characters that you see in the box below. Click Refresh Characters to get a new set of characters.

  68.   Refresh CharactersCAPTCHA Validation Failed. Please try again.
  69. Please only click the Submit button ONCE.

You are here: Home State Perseverance Awards
PJAS

Pennsylvania Junior Academy of Science