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STANYS Award Nomination Form
This form must be completed and
submitted by May 15
or, by using the fillable pdf version, sent to
awards@stanys.org
by May 15
in order for a candidates application to be considered.
Descriptions of all awards may be found on the
STANYS website.
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Award for which you are nominating the candidate
*
Anton Banko Excellence in Elementary Science Teaching
Excellence in teaching - Intermediate
Excellence in teaching - High School
Excellence in Teaching - College
Fellows New Teacher Award
Champion of Teacher Development
Nominee Title:
Dr.
Mr.
Mrs.
Ms.
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Nominee First Name
*
Your answer
Nominee Last Name
*
Your answer
School District
*
Your answer
School Name
*
Your answer
School Address: Street, City, State, Zip Code
*
Your answer
School Phone
*
Your answer
School Email Address
*
Your answer
Personal Email Address (needed for contact outside of school year.)
*
Your answer
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