Student Support Disclosure Form for Science and Engineering Fairs

This form is required for ALL projects. It may be completed before or after experimentation. It is important to fully disclose any support provided in the completion of a scientific research project. This disclosure provides acknowledgment and verification of the project.

To be completed by the student researcher:

Please list the person serving in each role. (Described in the Roles & Responsibilities of Students and Adults section of the Rules.) If an individual serves in multiple roles, list fully once and by name only in other roles.

1. Adult Sponsor

Name	Organization/School	Email	Phone	Relationship to student	Expertise	Contribution to project	Duration of support for this project

2. Direct Supervisor

Name	Organization/School	Email	Phone	Relationship to student	Expertise	Contribution to project	Duration of support for this project

3. Qualified Scientist

Name	Organization/School	Email	Phone	Relationship to student	Expertise	Contribution to project	Duration of support for this project

4. Additional Supporting Adults

(graduate students, relatives, external experts, etc.) Use additional pages as necessary.

Name	Organization/School	Email	Phone	Relationship to student	Expertise	Contribution to project	Duration of support for this project

Paid Support Disclosure:

Did you or your parents pay for any support for this project?

• Yes
• No

If yes, explain: (Indicate any fees, tuition and/or payment to any of the individuals above and/or to a program that provided any support for this project including lab space, mentorship, documentation preparation, etc.)

AI Usage Disclosure

Did your project involve the use of Generative AI?

• Yes
• No

If yes, please provide an attachment with Generative AI used in your project and in what elements of your project it was used.

Please provide the AI Prompt Log containing the prompts and responses from the Generative AI or AI Wrapper used. Be sure to remove any personal prompts which contain personal identifying information about yourself or others. If you do not have access to your prompt log, then please provide a summary of the prompts and responses involved in your project.

Attestation by Student Researcher:

I certify that I have presented the full truth regarding all of the support received in the completion of my research project and have not omitted pertinent information nor presented false information.

Finalist Signature: ____________ Date: ____________

Printed Name: ____________