Registration Form for 2023 Central Massachusetts Brain Bee

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Please enter the email address you will use for Bee communications.
NOTE: please do not use a school-affiliated email for registration. Some school-based accounts will block our emails, including those with information critical to participating in the Bee.

Email *

Enter an alternate email address (if available/you wish).

Enter your name. *

Enter the name of the Massachusetts city or town in which you live. *

Enter the name of your High School. *

Enter the name of the Massachusetts city or town in which your high school is located. *

Please name your science teacher or advisor

To verify your student status, we ask that you submit a photo or scan of your school ID before March 5. 2023. *

I will submit my current school ID to CentralMassBrainBee@umassmed.edu

I do not have a school picture ID, but I will have a teacher or counselor send an email verifying student status to CentralMassBrainBee@umassmed.edu

Other:

Central Massachusetts is defined by the organizers as the region between the outer red lines on this map (Worcester County plus 2 adjoining towns). *

My high school is in Central Massachusetts.

My public school district is partly in and partly outside Central Massachusetts.

My school is outside Central Massachusetts. I will submit evidence that my primary home address is within Central Massachusetts, to CentralMassBrainBee@umassmed.edu

My school and home are outside Central Massachusetts, so I am ineligible to compete in this Bee.

Indicate your grade of high school *

Grade 9 (freshman)

Grade 10 (sophomore)

Grade 11 (junior)

Grade 12 (senior)

The main Qualifying Exam time on March 11 is at 1 pm. Due to a conflict with the SAT exam, we have added a second Exam time at 7 pm on March 11. Please use the later time only if it is necessary for you to participate. Which exam will you participate it?

1 pm

7 pm

Clear selection

Indicate the age you will be on March 18, 2023. *

14 years of age

15 years of age

16 years of age

17 years of age

18 years of age

19 years of age

If you will be 19 years of age on March 18, 2023, how old will you be on April 23, 2023 (the date of the National Brain Bee)? *

Not applicable, I won't be 19 on 3/18/23

I will still be 19 years of age on 4/23/23.

I will turn 20 on or before 4/23/23, so I am ineligible to participate in the National Bee.

Have you previously competed in a Local Brain Bee? *

Yes

Have you competed in another local Brain Bee in 2023? *

Yes. I can only compete in one Local/regional Bee per year, so I am ineligible to participate.

Honor Statement CHECK ALL BOXES to agree *

I promise that the work I present on this examination is my own.

I understand that this is a closed book examination. I will not use any books, notes, references, online resources, or communication with others during the exam. 3

I promise not to preserve or record the exam questions in any way, except for my memories, for myself or anyone else. If the Neuralizer from Men in Black were real, I would use it to make myself forget the exam questions.

I promise not to discuss or transmit specific questions from this examination to other students, during or after the Bee.

I realize that violation of this Honor Statement is academic misconduct and may lead to disqualification from the Brain Bee.

By opening, completing and submitting the Brain Bee exam, I affirm that I agree with the Exam Honor Statement above

Required

Do you agree to comply with the Honor Statement on the previous page? *

Yes

No, therefore I withdraw my registration.

We will be conducting the Qualifying Round of the 2023 Brain Bee virtually, using zoom and an online, browser-based testing system. We want to be sure that accessibility of computer resources does not limit participation. Do you have access to the following resources (indicate each that will be readily available to you on Saturday March 11, 2023)? I will have: *

A quiet location where I will not be disturbed by others

A stable internet connection

A laptop or desktop computer

A working webcam on the laptop or desktop computer

Ear buds or another means to prevent my computer's audio from being played to the room I am in during the Bee.

Required

Are there any other resource or technology-related issues that could interfere with your ability to participate in the 2023 Brain Bee? If yes, can you think of a way the Bee organizers can help?

We plan to run a practice session to familiarize Bee participants with the software and to work out any technical kinks before the Bee. Would you be interested in participating in a trial run? (Questions will be for fun only and not neuroscience related.)

Yes

Maybe

Clear selection

If you place in the top 10 scores in the Qualifying Round on March 11, 2023, will you be able to come to UMass Chan Medical School to participate in an in-person Bee on March 18, 2023? *

Yes

Maybe

If you win the Central Massachusetts Brain Bee, will you plan to attend the USA National Brain Bee in Irvine CA April 21-23, 2023?

Yes

Maybe

Clear selection

For scheduling a trial run session as described above, please provide input on the best timing for such an event. Check all that apply

5 pm is good start time for a trial run

6 pm is good start time for a trial run

7 pm is good start time for a trial run

8 pm is good start time for a trial run

I would prefer to receive a link and work through the mock exam on my own.

Registrants will receive instructions about the Bee. Do you have any questions you would like ask at this time? Complete below, or email CentralMassBrainBee@umassmed.edu or david.weaver@umassmed.edu

Thank you. You have successfully registered for the 2022 Central Massachusetts Brain Bee. You will receive a confirmation email shortly. *

Click here, then hit the SUBMIT button at the lower left to submit form and register.

A copy of your responses will be emailed to the address you provided.

Submit

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