Science Olympiad Application Form

Dowell Elementary School

PLEASE READ ENTIRE FORM CAREFULLY
Thank you for your interest in Dowell Elementary School’s Science Olympiad program. We are
excited to bring this club back to Dowell.

In addition to meeting after school, STRONG participation from both students and
parent volunteers throughout the season is essential to a productive season.

APPLICATION DEADLINE: Friday, August 23rd

You will be notified of whether you have been selected by Tuesday, September 3 rd.
- Bring completed application form to Mrs. Belcher’s room.

STUDENT MEETINGS:
Meetings will generally be held every other week on Thursdays from 2:45 to 4:00 PM in the STEM
Lab. Once a team is selected, students will be given specific meeting dates.

All students who are not pickup up by 4:15 will be sent to ASP-fees will apply.

PARENT MEETING: TBD

TOURNAMENT: March 28th 2020 at Walton High School (Title 1 Science Olympiad date TBD)

COMMITMENT:
- There will be a $30 fee to participate on the Science Olympiad team if selected. This includes
a T-Shirt and supplies.
- Team members will be expected to attend all Science Olympiad meetings and put in an
additional 1-2 hours/week preparing for events, with more hours to be put in as we move
closer to competition dates.
- Students must commit to competing in three events.
- We need parent volunteers!

Questions? Please email Mrs. Belcher or Mrs. Astin.

Janice.belcher@cobbk12.org or Wendy.astin@cobbk12.org

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 Science Olympiad Application Form Dowell Elementary School

**** STUDENT SECTION **** *

Student First Name: Student Last Name:

Grade: Science teacher: _____

In your own words, why are you interested in participating in Science Olympiad? What would you like to gain
from the experience?

Please describe any relevant experience, hobbies, activities, interests and/or skills.

STUDENT CONTRACT
Students: please put a yes or no next to each item.
If selected for the Science Olympiad team…
_____ I agree that each Science Olympiad team meeting is valuable and will attend each meeting as
best I can. If a conflict arises, I will notify my coach in advance.
_____ I agree that my behavior at meetings will be constructive.
_____ I agree to cooperate on whatever events I am selected for, even if it’s not my first choice.

Student Signature _________________________________Date: _______________

Science Olympiad Application Form Dowell Elementary School

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**** PARENT SECTION **** *

Parents: Please include any coaching strengths (profession, education, hobby, or special interest in
specified event). Please indicate whether you can help with other needs, particularly
volunteering to run/supervise an event.

Skills:

Willingness to volunteer/supervise/write an event for tournaments:

PARENT/GUARDIAN CONTRACT

Please initial your agreement to each item.

_____ I understand that parent volunteering by at least one parent is required for my child to be a team
member. I agree to help coach at least one event, that is, set up and facilitate the meetings and obtain
necessary materials. If I am personally unable to perform this role, I will find another mentor to serve in my
place as needed or requested.

_____ I agree and give permission to my student to attend every Science Olympiad afterschool meeting,
event-specific practice, and the Regional Competition. All transportation will be provided by parents. If there is
a conflict, my child or I will notify the coach.

_____ I grant permission to use photographs or videos of my participant child in print or online materials
designed for news, informational or educational purposes related to the Science Olympiad program.

Parent’s Name (print): ___________________________

Parent’s Phone: ________________ Cell: __________________ Email: ___________________

Parent Signature ______________________________________Date________________

Student’s Teacher:_________________________________________________________

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