Suffolk STANYS Outstanding Science Student Honoree Designation Form
This form is to be used to designate one student from your high school for the "Outstanding High School Science Student Award" from the Suffolk Section of the Science Teachers Association of New York State (STANYS). Please note that there are two sections of this form to be completed. The nomination form is due by Friday, March 23, 2018.
Email address *
Student Information
Please fill out the following information about the nominated student.
Student Last Name *
Your answer
Student First Name *
Your answer
Home Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Student Home Phone Number *
Please use the following format: xxx-xxx-xxxx
Your answer
Student E-Mail Address *
Information regarding the awards dinner will be sent via email to the student. Please provide a valid email address that the student will check periodically for any pertinent information regarding the event.
Your answer
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