NCSTA Awards Nomination Form

Nominations must be submitted by July 31!

In addition to the form below, the following items are also required for each nomination and may be submitted online as well:

  • A narrative from the nominator describing the nominee's experience and/or contributions. Limit to 500 words.
  • A minimum of three (3) and a maximum of five (5) letters of support. One must be from the educator's principal or supervisor. One must be from the student teacher’s mentor teacher.

Choose the award you wish to nominate for:

Outstanding Student Teacher in Science Award Elementary
Middle/Jr. High
Senior High
  District Outstanding Science Teacher Award Choose a District
  Distinguished Service in Science Education in North Carolina Award Elementary
Middle/Jr. High
Senior High
Administrator/Supervisor
College/University
Commercial
Non-School Setting
Nominee Information
Name
Position/Title
School/Institution
School Phone
School Address
Home Address
Home Phone
Email
# Years Teaching Experience
# Years in Current Position
Student Teaching Award Only:
 Has the nominee student taught? Yes No
  Date of Graduation
Nominator Information

Name

Position/Title

Work Phone

Work Address

Email

Support Letters From:
Be sure to email the following and have them complete the Support Letter Form
1. Name
Work Phone
Work Address
Email
2. Name
Work Phone
Work Address
Email
3. Name
Work Phone
Work Address
Email
4. Name
Work Phone
Work Address
Email
5. Name
Work Phone
Work Address
Email
Before you click Submit read this!
When this form is submitted, you will automatically receive an email copy of the information (if you enter your email address correctly). Please forward this email to the 3 to 5 names listed above who are providing support letters. Inform them that they must complete the Support Letter Form (www.ncsta.org/awards/supportletter.html) by July 31 in order for the nominee to be considered for an award.
Thank you for you nomination.


North Carolina Science Teachers Association | P.O. Box 33478, Raleigh, NC 27636 | 919-771-1226