2017 STOM Board Special Election Nominations
Dear STOM Members: If you wish to become a candidate for one of the vacant STOM Board positions, please complete and submit the following form. Thank you.
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Email address *
Board Position - Please check the Board position for which you wish to become a candidate. *
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Last Name *
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First Name *
Your answer
Middle Name or Initial (optional)
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Preferred Title (Please choose one.) *
I certify that I am currently a member of STOM *
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STOM District Classification (choose one) *
School (Building) Name *
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Grade Level(s) Currently Teaching (Please check all that apply.) *
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School District Name *
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Preferred Street/P.O. Box Address *
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Preferred City *
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State *
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Zip Code *
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Preferred E-Mail Address *
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Alternate E-Mail Address
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Preferred Telephone Number *
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Alternate Telephone Number (optional)
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Biographical Information (Degrees, Organization Membership(s), Award(s), Job Description, Etc. Limit: 500, or fewer, words.)
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Position Statement (Please describe your potential role and vision supporting STOM supporting quality science education. Limit: 500, or fewer, words.)
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