Dinner with a Scientist 2018 - Principal Nomination Form
NOMINATIONS ARE NOW CLOSED. IF YOU WOULD STILL LIKE TO NOMINATE A TEACHER, PLEASE EMAIL CALEB CHEUNG (CALEB.CHEUNG@OUSD.ORG) FIRST TO SEE IF THERE IS STILL ROOM.

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Dear Elementary Principal,

I would like to invite you to nominate a teacher to attend our annual Dinner with a Scientist celebration at the Chabot Space and Science Center.

Dinner with a Scientist is our award winning event that brings together Oakland teachers, students, and local scientists from various fields to celebrate science over a semi-formal dinner which includes opportunities for structured conversations, speakers, and activities. The event is free to all participants with costs offset by donations and local funders.

Due to funding, only one elementary event will take place this year on Monday, May 7, 5-8 pm, and only one teacher will be able to attend per school. Guests also have the option of visiting the science center exhibits prior from 4-5 pm.

With the enormous amount of coordination required, we ask that you follow these guidelines and submit names by April 13.

1. Use the form below to submit information for one teachers and one alternate. It will only take two minutes. We suggest Science Teacher Leaders or teachers who have demonstrated a strong commitment to science at your school. The teachers can be from any grade level. In turn, each teacher will be invited to bring two 4th or 5th grade students to the event. Be sure to check with the teachers first to make sure they can attend. You will also need to submit their active email and phone number. We will contact them on April 14 with additional details.

2. After April 13, we will start offering empty seats to alternate teachers from other schools.

3. If your school also has middle or high school science teachers, they can register directly on our website for the secondary event on May 8. You can still nominate elementary teachers using this form.

Additional information is on our website at https://sites.google.com/ousd.k12.ca.us/science/events/dinner-with-a-scientist

Let me know if you have any questions. Thank you for supporting this wonderful event for our students and teachers!

Caleb Cheung
Director of Education
Chabot Space and Science Center
caleb.cheung@ousd.org

Email address *
Please select your school site. *
Principal Full Name *
Your answer
Principal Phone Number (in case of emergencies) *
Your answer
As a principal, would you also like to attend the event as a VIP? If so, we'll save you a seat. *
Indicate up the teacher you would like to nominate. Be sure to confirm their willingness to attend. Make sure all email addresses are correct as this is our primary way of communicating with your teachers.
Teacher #1 First and Last Name *
Your answer
Teacher #1 Email *
Your answer
Teacher #1 Cell/Home Phone *
Your answer
We may have space for additional teachers. If you have an alternate, please enter them here and we will contact them if there is space before the event.
Alternate Teacher First and Last Name
Your answer
Alternate Teacher Email
Your answer
Alternate Teacher Cell/Home Phone
Your answer
Any comments?
Your answer
Thank you for your nomination. Please click submit when finished. We will follow up directly with the teacher for more information and student names.
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