FUTURE SCIENCE TEACHER AWARD
NOMINATION FORM

Do you know a student who has what it takes to become a great science teacher?
The California Science Teachers Association Future Science Teacher Award recognizes college students who demonstrate an interest in and commitment to science education through volunteer tutoring or teaching activities in a school setting, volunteer activities in a museum, nature center or related organization, courses taken in science, long-term career goals, and related activities, and who show promise to become outstanding science educators.

NOMINATION PROCEDURE
Nominator:

• Must be a current member of CSTA for a minimum of four years.
• Must submit a letter of endorsement for the nominee.

Nominee:

• Must be a student enrolled in a teacher education program.
• Must submit this Nomination Form along with the following information:
• Briefly describe your commitment to science education, including:
  * volunteer and/or teaching activities within a school setting
  * volunteer activity in a museum, nature center, or related organization
  * long-term career goals

Nomination deadline: May 15, 2012

Name of Nominee:

Nominee Mailing Address:

Nominee Phone Number:

Nominee Email Address:

School Attending:

Science Courses Taken:

Name of Nominator:

Nominator Phone:

Nominator Email Address: