PLTW Student Nomination Form - Middle & High School Students
Middle and high school students should use this form to support the PLTW teacher nomination that is being submitted.
Student name *
Your answer
Grade student is currently in *
Your answer
Name of teacher being nominated *
Your answer
Name of school the student attends *
Your answer
PLTW Course(s) taken by the student *
Your answer
In the questions below, describe the ways your teacher has made an impact on you.
Personal: How did your teacher help you grow as a person? Please provide examples. *
Your answer
Academic: How did your teacher support your academic growth? Please provide examples. *
Your answer
Inspirational: How did your teacher inspire you to explore new interests and dreams? Please provide examples. *
Your answer
The following questions can either be used as prompts for a video submission, or you can provide written responses.
If you select to submit a video instead of providing written responses, send the video to Martha Cyr (martha.cyr@gmail.com) with the teachers name and your name in the body of them message, along with the video. If you are submitting a video, please type 'video' into the answers below.
Why do you think your teacher deserves to be nominated? *
Your answer
How does this teacher show they care about students? Explain and/or share examples. *
Your answer
What are some fun projects this teacher has done in the classroom to make learning come alive? *
Your answer
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