Humans In Space Youth Art Competition
Judging Application Form

Full Name

First/Given Name	M.I.	Last/Family Name

Year of Birth

Job Title

Affiliation / Institution

Country of Residence

E-mail Address

Retype E-mail Address

NOTE: If you are selected to be a judge, we will use your e-mail address to notify you, and you will use it to log into the judging system.

Phone Number

Other Relevant Information

Please enter any information that may be helpful in assigning artwork to judges. For example, my hobbies include: watercolor painting, playing the violin, shooting home videos, reading science fiction, doing physics experiments in my backyard, judging the science fair, etc.

Art Category(ies) you prefer to judge in order of preference 1-4:

	Highly Prefer			Won't Judge
Visual (Paintings/Sculpture/Sequential Art)	1	2	3	4
Literary (Poetry/Essay/Short Story)	1	2	3	4
Music Compositions (Orchestral/Non-orchestral)	1	2	3	4
Video (Animation/Live Action/Slide Show/Website)	1	2	3	4

Humans In Space Youth Art CompetitionJudging Application Form

Humans In Space Youth Art Competition
Judging Application Form