Outstanding Science Teacher Nomination Form

MICRON OUTSTANDING SCIENCE TEACHER AWARD NOMINATION FORM

Thanks to a grant from the Micron Technology Foundation, the Idaho/Utah Section of the Association American Association of Physics Teachers (AAPT) will present six awards to Idaho science teachers. One Outstanding Physics Teacher and two Outstanding Science Teacher awards will be presented. Each outstanding science teacher will receive a cash award of $250.

The awards will be presented at the 2010 Idaho Science Teachers Association annual meeting in Lewiston October 7 - 8.

We encourage nominations for these awards from colleagues, principals, former students or others familiar with the service these teachers give to their students.

NAME OF NOMINEE:

SCHOOL:

SCHOOL ADDRESS:

PHONE NUMBER:

SUBJECTS TAUGHT:

Nominated by:

Address:

Phone Number:

e-mail:

How do you know this teacher?

Approximately how long has this teacher been teaching?

What innovations in style, technique, subject matter, etc, have been implemented by this teacher that prompts you to nominate him/her?

List previous honors, awards, or other professional recognition.

On the back of this page, or on another piece of paper, please give specific examples of this individual's outstanding work with students. If you would prefer, a letter may be attached to this form. Additional letters of support from educators, administrators, parents, or students are encouraged, but not required. If you are sending the application via e-mail, provide the requested information in the order presented above. Applications are due by September 27, 2010. You may mail the application to: Steve Shropshire, Idaho State University, Department of Physics, P.O. Box 8106, Pocatello, ID 83209. Or you may fax it to: (208) 282-4649 (Attn. Steve Shropshire). If you are e-mailing the application, send to shropshi@physics.isu.edu.