AJAS Local Participant’s Registration

Please provide the following information. We will follow with updates, basic information requests, local and then regional (state) information.

Local Participant's Registration

Step 1 of 5 - Region and Date

0%

Todays Date:*
Date Format: MM slash DD slash YYYY
Region: See home page*
Are you also participating in Gorgas?*

Presenter Information:
Name:*
First Last
Email:*
Grade:*

Paper Information:
Preliminary title*
Chose first and second choice of category for state/regionals*
Second Choice*
If you had a professor or industry mentor please answer the following or leave blank.
Name:
First Last
Email
Institution
Field of study or specialty

School Information:
School Name:*
Please spell out so everyone matches
City*

Teacher/Sponsor Information:
Teacher Name:*
First Last
Teacher Email:*
Are you interested in an officer position?
Other officer interests
If invited to state, are you interested in a poster presentation before the banquet? This is optional and has no bearing on the competition.*

Science paper reading competition