Eye On Science: A Student Journal in Science and Technology

Submission Application Form  
  Download a printer friendly version (PDF)
Instructions to student:
  1. Print this form
  2. Complete the Student Information, Submission Description, and Major Subject Category sections
  3. Have your science or technology teacher complete the Teacher/School Information section
  4. Sign and Date (student and teacher)
  5. Enclose the completed application form with four copies of you submission and mail to:
 
Eye On Science
OISE/UT
Curriculum, Teaching, and Learning, SMT
252 Bloor Street West, 11th Floor
Toronto, Ontario
M5S 1V6
 
 
 
 
 
 
Student Information:
Student's Full Name________________________________ ________________________________
E-mail Address (optional)_______________________________ ________________________________
Grade_____________

Submission Description (check one):
Essay Poster/Illustration

Lab Report

Science Fair Project Report

 Creative Writing Book Review
Science & Technology Career Profile Website Review  

Other ________________________________

Major Subject Category (check one):
General Science Chemistry Physics
Earth and Space Science Technology Biology
Integrated STSE   Environmental Science

   
Teacher/School Information:

Teacher Name_____________________________________________________
Teacher E-mail Address______________________________________________
School Name______________________________________________________
 
School Address:

Street number and name___________________________________

City/town/village ___________________________________
Province_________________________
Postal Code ______________________

School Phone Number (_____)___________________

School Fax Number (____)_____________________
 
Teacher Endorsement:

The above-named student and I have discussed this submission and have agreed that it fulfils the following criteria:
1. It is original work produced by the student, and
2. It does not contain copyright protected material.

Student Signature_____________________________ Date_____________________
Teacher Signature_____________________________ Date_____________________

On acceptance of a submission for publication in the Eye On Science journal or website, the author(s) will be asked to provide a disk version of the work (original artwork excepted). A signed and dated statement transferring copyright from the author(s) to Eye On Science will be required before publication. The Editors will provide the appropriate forms.