Outstanding Teacher Nomination

Name of Nominator(Required)

First Last

Email of Nominator(Required)

Name of teacher being nominated (nominee)(Required)

First Last

Relationship to Nominee(Required)

Full name of academic institution(Required)

At what level does/did the nominee teach?(Required)

Is the nominee actively teaching

Please provide a summarized teaching record for the nominee. School, years taught, courses taught, number of students.(Required)

Present evidence as to the candidate’s part in preparing students in science as well as in the relevancy of science to society and good citizenship.(Required)

Describe ways in which the candidate has influenced other teachers.(Required)

Provide any past and/or present academic, professional or public recognition of candidate’s teaching and service. *(Required)

Describe the attributes you recognize (e.g. innovative methods, procedures, attitudes, leadership, etc.) that makes this person worthy of special recognition as an Outstanding Science Teacher.(Required)

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Outstanding Teacher Nomination

Outstanding Teacher Nomination

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