Nominee's Name (first name first):_____________________________________ College or University Affiliation:_____________________________________ College or University Address:_________________________________________ City: ______________________________ State: ________ Zip:______________ Nominee's number of years teaching experience in a mathematical science: __________ Has the nominee taught at least half time in a mathematical science during the current academic year or during the previous year if on approved leave or sabbatical? __________ In the space below, please briefly describe the unusual personal and professional qualities of the nominee that contribute to his or her extraordinary teaching success. Name of nominator (first name first):__________________________________ Address of nominator:__________________________________________________ Telephone: ________________________ E-mail: ___________________________ Nominator's Signature:_________________________________________________
Please send this completed form (via regular or electronic mail) to:
Jon Johnson, Secretary/Treasurer of ISMAA
Department of Mathematics
Elmhurst College
Elmhurst, IL 60126
jonj@elmhurst.edu
[ DTA Call for Nonimations ] [ ISMAA Home Page ]
January 2, 2007