Multimedia Mania 2004 Entry Form: Part 2

Print out this form, include your signature and your administrator's signature, complete, and send this form with your project disks.

(  ) 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 these were obtained through electronic means they are included in a digital format on the CD/DVD or Zip disk. 

(  )  If our project is a winner, I will chaperone one student team representative and assume complete responsibility for his/her  welfare at the National Educational Technology Conference, June 20-23, 2004 in New Orleans, LA .  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 NECC 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 disks. 

<NOTE> Include Entry Form Part 2 and Parental Permission Form for Publication along with your project disks. Include Entry Form Part 1 and the Learning Outcomes Questions and any other supporting materials you wish to be viewed on your project disks as MS Word documents, RTF, or HTML files.