Odyssey of the Mind Application

Grades 3-5

RETURN TO MISS SWARTZ BY WEDNESDAY, SEPTEMBER 30TH (ROOM D124)

This application should be filled out by the student applying for Odyssey of the Mind. Please limit parental/outside assistance. Meetings will be every Monday and Wednesday 2:15-4:00. You will need to provide your own transportation home.

Name:

Age:

Birthday:

Home Telephone Number:

Parent/Guardian names:

Email:

Grade:

Teacher:

What is your favorite or best subject?

Describe any talents you have: (singing, dancing, sports, drawing, acting, musical, telling jokes, etc…)

Describe yourself in three words:

What positive qualities would you bring to our Odyssey of the Mind Team?

Please answer the following problem without any parental/outside help.

You are given one container of play-dough, one wash cloth, two shoe strings, ten toothpicks, and ten pennies. With only those items create a new invention. Draw a picture of your invention and answer the following questions.

What is your invention?

What does your invention do?

How does your invention improve the world?

*Be as creative as you can. You will be judged on your creativity!

Parent Involvement will make our Odyssey of the Mind Team a success! Please write the name of a volunteer willing to join our team, and check the areas he or she is willing to help. (This section will not be used in the candidate selection process.)

Volunteer ______Phone#/email______

[ ] I can provide snacks for meetings.

[ ] I can provide drinks for meetings.

[ ] I can provide a place for meetings outside of school.

[ ] I can provide transportation for collection of materials.

[ ] I can help coach and attend meetings. 2:15-4:00

[ ] I can help supervise and attend some meetings. 2:15- 4:00

[ ] I can be a judge at the regional competition. (One day training required- but it’s a fun opportunity!)

[ ] I can volunteer at the regional competition.

[ ] I can make a monetary donation to help cover any Long Term problem costs.