STEM Educator of the Month Nomination Form
​The Lowcountry STEM Collaborative and WCIV ABC News 4 are excited to offer the opportunity to recognize leading educators in our area that are facilitating learning that is specifically targeting the Collaborative's three priorities. For Selection Criteria, see http://www.lcstem.org/selection-criteria.html.
Educator/Nominee Name *
Your answer
Educator/Nominee Organization *
Your answer
Educator/Nominee Address *
Your answer
Educator/Nominee Phone *
Your answer
Educator/Nominee Email Address *
Your answer
Nominator (your) Name *
Your answer
Nominator (your)Organization *
Your answer
Nominator (your) Address *
Your answer
Nominator (your) Phone *
Your answer
Nominator (your) Email Address *
Your answer
Nominator (your) Relationship to Educator/Nominee *
Your answer
Why is this Educator deserving of the STEM Educator of the Month and how does he/she meet the selection criteria (http://www.lcstem.org/selection-criteria.html)? (no more than 500 words) *
Your answer
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