Santa Cruz County Science Fair Certificate of Compliance by dag12237

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									                      Santa Cruz County Science Fair
                             Certificate of Compliance
This certificate must be completed for research involving HUMAN SUBJECTS, TISSUE SAMPLE
SOURCES, BACTERIA, INVERTEBRATES, AND HUMANE TREATMENT OF LIVE
VERTEBRATE ANIMALS. Attach a detailed explanation of the care, feeding and housing of all animals
before, during and after the science fair project. Include survey or interview questions for use during
Behavioral/Social Science experiments. (See regulations on special projects).
Mail form to:
                                            Science Fair Coordinator
                                   Santa Cruz County Office of Education
                                               400 Encinal Street
                                             Santa Cruz, CA 95060
                                            or Fax to: 831-466-5846

This form is for:

                      Research Involving Human Subjects
                      Tissue Sample Source Verification
                      Humane Treatment of Animals
                      Use of Bacteria
                      Project Involving Invertebrates

We certify that the experimental procedure used in this science fair project complies with State and Federal
regulations including but not limited to 45 CFC 46 46.102 and California Education Code 51540.

STUDENT

Name (First, Last):                                               Signature:

School Name & Grade:

Project Title:


PROJECT ADVISOR

Name:                                                             Phone Number:

Employer:                                                         Title:

Signature:                                                        Date:

								
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