PJAS.info

Region 4 School Registration Form

PENNSYLVANIA JUNIOR ACADEMY OF SCIENCE

REGION 4 2021-2022

SCHOOL MEMBERSHIP REGISTRATION FORM

List the teachers interested in PJAS Activities. Provide email addresses of those teachers who wish to receive information. The email address must be able to accept attachments.

Please return this form with your check for $50.00 per school building for membership dues by December 7, 2021. Each building should submit a separate form.

Make checks payable to PJAS Region 4.

Send the form(s) and check to:

Michelle Banks

PJAS Region 4 Treasurer

1703 Warren St.

New Cumberland, PA 17070

Region 4 Presenter Registration Form

 2022 PJAS Region 4 Presenter Registration Form  

Please type or print very neatly:

 First Name: ____________________________           Last Name  ___________________________            Gender:   M        F    

Home Phone: ___________________   Email: _________________             Grade: ______       Region:  4  

Student Address:  __________________________________  City: ______________________________  State:______  Zip code:________

 # of years in PJAS  (include this year)     1    2    3    4    5      6                                 

Research Title 

 (limited to 60 characters)  ________________________________________________________________________________________________________________

School Name: ______________________________  Sponsor:  ________________________________

Research Area:   Check the research area.  If the research could overlap areas please rank as 1, 2, 3.

____ Biochemistry (BC)         ____ Behavioral/Psychology (BEH)   ____ Biology general (BIO)

____ Botany (BOT)                ____ Chemistry (CHM)                      ____ Computer (CPS)

____ Ecology (EC)                 ____ Earth and Space (ES)                 ____Engineering (ENG) 

 ____ Mathematics (MAT)      ____ Microbiology (MIC)                ____ Physics (PHY)

  ____ Zoology (ZOO)

PJAS Region Presenter Permission Form We certify that this research has been conducted by the student in accordance with the International Science and Engineering Fair rules as adopted by the Pennsylvania Junior Academy of Science. We further agree to accept the Judge's evaluation of this research as final. In consideration of the furtherance of your purpose, objectives, and work and in consideration of your permitting me to participate in the PJAS regional meeting and state meeting on behalf of myself, my heirs, executors, administrators and assigns, I hereby waive and release any and all rights for damages I may have against you, the school district, and the Pennsylvania State University as well as any other persons connected with the Pennsylvania Junior Academy of Science Regional Meeting and State Meeting, their heirs, executors, administrators and assigns for any and all injuries which I may suffer while taking part in the Pennsylvania Junior Academy of Science regional Meeting and State Meeting or as a results thereof.  All presentations must take place on that day and on that site.  Secondly, the results are deemed final. There cannot be “rejudging” of any presentations.  Judges are polled before submitting their final results to ensure that the scores and the awards are acceptable to the entire judging panel.  If there is a disagreement, it must be rectified before the judges’ final submission.  Once the judging panel is released the score and award is final. The large number of participants competing across the state will undoubtedly produce some results that are not expected.   PJAS tries to make the evaluations as objective as possible. Using specifically designed rubrics along with orientation of judges, our judging committees do an exceptional job to ensure a fair result. We further agree to accept the Judge’s evaluation of this research as final.  In addition, we agree to make every attempt to have the student present at the Region 4 Competition and at the State Competition should he/she receive a First Award at the Region 4 Competition.

PJAS cannot guarantee that you will not be exposed to Coronavirus during your visit. The CDC advises that some people are more likely than others to become severely ill, and some people are at a higher risk of exposure to Covid-19. Guests should evaluate their own risk in determining whether to attend. People who show no symptoms can spread Covid-19 if they are infected, and any interaction with the general public poses an elevated risk of being exposed to Covid-19. By participating in all PJAS activities, you acknowledge and agree that you assume these inherent risks associated with attendance. 

Print Student Name:  _____________________________________

Signature of Student   ___________________________________  Date ________________

 Signature of Parent     ___________________________________  Date ________________

 Signature of Sponsor  ___________________________________  Date ________________

Contact Us

Please use the link to the State contact form to get in touch with your Regional Director or other Regional Officers 

SELECT REGION 4 FROM DROPDOWN

CONTACT US

Locations & Directions

Regional Competition

The competition will be held at (DCTS) Virtually.  Deadline for uploads of Presentation and Audio Files is  Wednesday, February 17, 2021.

State Competition

The State Competition will be held Virtually in May, 2021.  Specific details will be announced once finalized.  

All first place award recipients in the regional meet are eligible for participation in the state meet.  

See Directions to States for additional information.

PSTS Informational Letter for Sponsors