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Awards Application

  • Note: Questions in red are required.
  • Note: If attaching files to your application, before submit check the filenames are still noted next to each file number. If not, please re-attach.
Which Award Are You Applying For?
Award Type:
Award level:

General Information
First Name:
Last Name:
Title/Affiliation:
Work/Business Name:
Work Address:
Work City:
Work State:
Work Zip:
Work Phone:
Work Fax:
Work Email:
Home Address:
Home City:
Home State:
Home Zip:
Home Phone:
Home Fax:
Home E-mail:
NSTA/CESI/NAEYC/NHSA ID:
Education Information
Number of years teaching science:
Grade Level:
Nominator's Information
Nominator's Name:
Nominator's Address:
Nominator's City:
Nominator's State:
Nominator's Zip:
Nominator's Phone:
Nominator's Fax:
Nominator's Email:
Award Information
Have you ever received an NSTA award?
If so, what year?
Award-Specific Questions
(If answering in attachment please note that in the respective field, as each is required)
Optional Uploads
(Must be .doc, .docx, .pdf, or .txt file format)
File 1:
File 2:
File 3:
File 4:
File 5:
Upload Picture
Picture:
Acknowledgment
  1. Please be advised that you may apply for more than one award; however, you are eligible to win only one NSTA award per year. Each application must be based on a unique program and process. Submission of the same idea and materials to different NSTA award programs will result in the disqualification of all applications. If your idea or project has received an NSTA award in the past, that idea or project is not eligible to receive an additional award. If you are selected to receive an award, NSTA must request and receive your social security number to issue a 1099 form to you. If your program is currently grant funded, confirm that you, as an individual, are eligible to receive a cash award. Your application will not be returned and becomes the property of NSTA. If you have received an award for this project from another provider, you must notify NSTA. If your application is selected to receive an award, NSTA reserves the right to reproduce information/photos/other content in promotional material and on the NSTA website. By submitting material that contains images of students and other individuals, you assume complete responsibility for obtaining appropriate release consent forms and permission to transfer these materials to NSTA.
  2. If applicable for your award application: I certify that the program described in this application has existed for one year or more and will continue. I acknowledge that my supervisor/principal/superintendent fully support the submission of this application
  3. Upon receipt, applications become the property of NSTA. Applications will not be returned to applicants. Late or faxed applications will not be accepted. Completed applications must be received by November 30



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