Outstanding Informal Educator Award Application

Nominee:
Name*
First Last
Title*
Organization*
City*
City
Email*
Phone*
Nominator:
Name*
First Last
Relationship to nominee*

(can be self nomination)
Location*
City State
Email*
Phone*
Be sure to provide examples/evidence of how the educator addresses each of the areas below.
How does the educator excite interest and inspires independent learning about STEM?
How does the educator demonstrate command of STEM content?
How does the educator demonstrate extraordinary skills in some, or all, of the following areas: Program Development, Program Delivery, Expanding Audiences, Extending Audience Experiences, Active collaboration to develop high quality STEM education experiences
Additional comments about nominee:
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Nominee: