Campbell Middle School Science Olympiad Team Application 2013

Name ______Grade ______

Homeroom Teacher ______

Parent/Guardian name ______Phone number______

Parent/Guardian Email ______

For Parents Only: Please check all areas in which you would be able to volunteer. Each team member is required to have at least one adult to volunteerto assist in coachingan event and one other area.

_____Coaching an event: No experience needed. Mrs. Dubick will show you how to coach an event. This canbe done

according to your schedule.The students do the work; you will just need to guide. To see the list of events:

_____Saturday Workshop: Help coordinate one Saturday workshop (i.e. scheduling, setting up practice events).

_____Snack Coordinator: Coordinate snackswith parents for practices and workshops.

_____Transportation: Communicate/Coordinate with other parents when transportation needs arise for team members.

_____Event Day Volunteer: Make schedule badges, coordinate food, set up home base for regional competition and

state competition as needed.

____Media/Photography: Take team pictures at practices and events for yearbook, school webpage, Brightside

Newspaper, and blog.

_____Post Event Celebrations: Plan and organize post competition celebrations.

For Students Only:

  1. Have your ever been involved in Science Olympiad (elementary or middle school)? ______
  1. If yes, what school? ______
  • List the events you participated in

______

______

______

______

  1. What were your grades in math and science last year (attach report card if available)?

______

4. Please list all extra-curricular activities that require before/after school or Saturdays(Academic Bowl, Boy Scouts,

swimming lessons, baseball, ect.) and the days and times youmeet:

______

______

______

______

  1. Write a short essay (min. 1 page) on why you would like to join our team. Ifyou are a former CMS team member, include how you will prepare differently this year and improvements as a team (use separate sheet of paper).

The Science Olympiad team is a school endorsed program and all rules of Campbell Middle School are to be adhered to. Violation of any school rules that result in receiving ISS or OSS, or other behavior issues in school will result in permanent exclusion from the Science Olympiad team. Students agree to attend and participate in all coaching sessions for their events throughout the training period and complete any work assigned by respective coaches. Appropriate behavior at training sessions, regular attendance, and adhering to deadlines for events is required.

Once a completed application has been submitted, students will be scheduled for an interview and will need to obtain a minimum of two current teacher recommendations.

There is a $40 team membership fee requested from all students who are accepted to the Science Olympiad team. Checks can be made payable to Campbell Middle School with Science Olympiad on the “memo” line. Membership donations provide each student with a standard dress attire team shirt, team registration for competitions, event materials, and training supplies.

We have read and agree to abide by the rules for joining the Campbell Middle School Science Olympiad Team

Student:______Date:______

Parent:______Date:______

Applications due to Mrs. Dubick by September4, 2013. Email questions to

Science Olympiad website:

Campbell Middle School

An International Baccalaureate World School