Multimedia Mania 2003 Entry Form All projects must be submitted on floppy disks, ZIP Disks, or CD-ROM's LABELED WITH PROJECT NUMBER and postmarked by midnight, May 1, 2003. Please print, complete, sign this page.  Keep a copy for your records and  MAIL THIS FORM WITH YOUR PROJECT.  You must also include a brief summary of your Learning Outcomes,  plus copies of all associated Permission Letters. NOTE: Only registered teams may participate. Project Number (Assigned when you register):___________________________ Teacher's Name ___________________________________________________________ Project Title: _____________________________________________________          (NOTE: A separate form must be submitted with EACH project.) School __________________________________________________________ School Address__________________________________________________________                           (Street Address)                      (City)           ________________________________________________________________        (State/Province)    (Country)                       (Postal Code) Phone: (W)___________________________(H)__________________________ FAX_________________________ E-Mail______________________________ Subject(s) Taught ___________________________________Age(s) _________ Platform: Mac (  ) PC (  )  Special Instructions for viewing: __________________________________________________________________ __________________________________________________________________ Preferred Screen Resolution for Judging (Check your control panel or settings.  Judges should use the same resolution used when you constructed your project.  Otherwise, images may be distorted.):   600 X 800 ______ 1024 X 768 ______ Other _______ Division:  (Place your team in the appropriate grade level. If you have students from different grade levels, place your team in the highest grade level represented.): ( ) Grades K-5 (approximate ages 5 - 11) ( ) Grades 6-8 (approximate ages 11 - 15) ( ) Grades 9-12 (approximate ages 15 - 18) Curriculum Objectives or Standards (To be obtained from the state or district curriculum guide.  Please include a reference number if possible): ________________________________________________________________ ________________________________________________________________ Approximate percentage of project created IN THE CLASSROOM: (  ) Less than 45%  (  ) 46-59%  (  ) 59-74%  (   ) 75-100%

Teamwork:  Check the one that best describes your group:
** This does not apply because the project was created by only one student.	_____
** The work load was not divided equally and few team members contributed their fair share.	______
** Most team members participated in some aspect of the work, but workloads varied.	______
** Most team members contributed their fair share of the work	______
** The work load was divided and shared equally by all team members.	______

Software used to create project entry (Please list ALL software used): ___________________________________________________________ ___________________________________________________________ Student Design Team: (Please PRINT or Type) Name __________________________ Age _______ Grade_________ Name __________________________ Age _______ Grade_________ Name __________________________ Age _______ Grade_________ Name __________________________ Age _______ Grade_________ (  ) I certify that this project was constructed by the above students under my supervision. I further certify the accuracy of all information I have provided regarding the construction of the project and the age of my students.   To my knowledge, all work contained in the project is either original or properly cited.    (  ) I have read the copyright guidelines at http://www.ncsu.edu/midlink/citing.html and we have obtained permission to use any copyrighted graphics or sounds.  The content contained in our project is original and we have cited our sources appropriately.  (  ) I have included all letters of permission for any graphics or sound files obtained from other sources.   (  )  If our project is a winner, I will chaperone one student team representative and assume complete responsibility for his/her  welfare at the National School Boards 17th Annual Technology + Learning Conference, October 22-24, 2003 Anaheim, California .  I can be available for travel on these dates. (  )  I have included copies of parental permission forms for work which may be included on the official Multimedia Mania CD ROM.  I understand that this CD will be freely distributed to educators as an example of excellent work.  (YES____) (NO____) Name of one student team representative who will travel to NSBA Technology + Learning Conference in Dallas to help present the project. __________________________________________________________________ Teacher's Signature: ____________________________________Date_________ (Note to Supervisor:  Please check the above information for accuracy and sign below if, to the best of your knowledge, this form is correct.) Principal/Building Supervisor:______________________________________________________________                                                   (Please Print Name Here)                                                   ________________________________________________________________________            (Signature)                                          (Title) Please mail this signed, completed form, along with your project on floppy disks, ZIP Disks, or CD-ROM.  Label your disk carefully with the Project Number you received when you registered.  (See the Final Checklist) [CAUTION:  Please double check your work to make certain it runs properly.  Unfortunately, we cannot be responsible for troubleshooting files that do not work.  Be sure to include all necessary animations, video files, or players. Please follow the Instructions for making your stack CROSS-PLATFORM at: http://www.ncsu.edu/midlink/mmania.how.htm#Cross