Chemistry Hall of Fame

The following is for information purposes only.
© The Chemistry Hall of Fame is a registered trademark of York University.

Chemistry Hall of Fame - Aspirin Nomination Contest

Official Entry Form

Please Type or Print Clearly, Then Attach to the Front of Your Entry

Substance Nominated:

Entrant's Name:

Home Address:

E-mail Address (if available):

School Name:

School Mailing Address:

I affirm that I have never registered at a University.
Entrant's Signature:

Date:

To Be Signed by The Chemistry Teacher

I certify that this entry in the Chemistry Hall of Fame-Aspirin Nomination Contest is the undertaking of the student named herein, and that this student is currently taking or has completed OAC Chemistry at the school named above.

Teacher's Full Name:

Teacher's Signature:

E-mail Address (if available):

Date:

Return to the Official Rules. Return to home page.

This page can be copied for information purposes or printed for submission.
End of file.