2010 NSTA Election Nomination Form

NSTA Membership Number:
Your Name:
NSTA Office:	President College Level Director Coordination and Supervision Director High School Level Director District III Director District V Director District IX Director District XI Director District XV Director District XVII Director

School/Institution Information

 

School/Institution:
Position/Title:
Address 1:
Address 2:
City:
State:
Zip:
Telephone:
Fax:
E-mail:

Home Address

 

Home Address 1:
Home Address 2:
Home City:
Home State:
Home Zip:
Home Telephone:
Home Fax:
Home E-mail:

Address Preference

Please select the address where you would prefer to receive NSTA-related information.   Home   Work

Persons Endorsing Nomination

You may list up to six names of persons submitting letters endorsing your nomination. All letters must be submitted with this form, individual letters will not be accepted at a later date. For each letter you are entering, enter the name of the person writing the letter in the box provided and then select the actual letter (Microsoft Word, PDF or plain text format only) in the box directly below the name. Files must be smaller that 4MB. Note: You must attach at least 3 letters to submit this form. Uploaded % ( ) Total Elapsed time:  Estimated time:  Speed:
Name of Person:
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Name of Person:
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Name of Person:
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Name of Person:
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Name of Person:
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Name of Person:
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Biographical Data

    

Prepare your biographical data as you want it presented in the ballot material. If you are chosen as a candidate for office, this text will be printed. Candidates are allotted ONLY 200 words for the three combined sections of the Biographical Data. If you enter more than 200 words, the form will be returned with an error message. Sample Biographical Data

Section One - Current Employment Information and Degrees Received List Your Name, Current Position Title, Current Employer, including city and state, Year of Employment (i.e. '87-Present) Degrees (i.e. PhD, New York University, New York City, NY '78. Complete information is appreciated)

Section Two - NSTA Activities List NSTA involvement, present and past. List NSTA committees, NSTA publications, etc. Where applicable, list year.

Section Three - Additional Activities & Honors List chronology of professional and teaching experience (include city, state, and year of each experience) state and local science involvement (past and present) Other professional activities (include other associations you belong to, professional development activities, etc.) Special honors and awards (list name of honor/award, honor/award sponsor, and year received)

Your Statement

    

Prepare your professional statement as you want it presented in the ballot material. The statement should be no more than 200 words. It addresses your philosophy about science teaching, the role and responsibility of NSTA in the profession or other beliefs regarding science, technology, or science education. You are required to indicate your envisioned actions as relevant to the office for which you are seeking nomination. Proofread carefully. Sample Position Statement

Nomination and Election Guidelines

Nomination and Election Guidelines approved by the Board of Directors state: NSTA prohibits campaigning for all elections. The publication of each candidate's vita and position statement shall be the total extent to which the Association members are informed about candidates for office. It is the candidate's responsibility to ensure that the application is complete and includes biographical data, position statement, and recommendation letters. The appearance and completeness of the application affects the committee's judgment. All materials should be assembled and submitted with this application.

Electronic Signature

By signing this form, I attest that I am a member in good standing of the National Science Teachers Association and am willing to have my name submitted for consideration by the Nominations Committee.     I agree