Texas A&M Inspiration Award for Exceptional Secondary Education- Nomination Form

Sponsored by the Office of the President, the purpose of the Texas A&M Inspiration Award is to recognize Texas high school teachers who have inspired Texas A&M graduates at the high school level, challenging them while preparing them to excel at the collegiate level and beyond. Nominations will be accepted from undergraduate and graduate students who will graduate in December 2009. One recipient will be selected and honored at the December graduation ceremony of their nominating student. In addition to an all-expense paid trip to Texas A&M University to be recognized at commencement, the recipient will receive a $2,000 individual award and the high school where the teacher taught the nominee will receive $1,000. Deadline for completed nomination forms is 5:00 p.m., Friday, October 23, 2009. (NOTE: A minimum of 10 nominations must be received for this award to be presented at the December commencement.)

Please bear in mind that your nomination will play the most important role in the deliberation process.

I wish to nominate the following teacher for the Texas A&M Inspiration Award:

Recipient Information

Teacher's Name: *

Subject(s) Taught: *

School Name: *

School Address: *

School City: *

State: * select...TXOnly Texas High School Teachers are Eligible

Zip Code: *

School Phone Number (if known):

Nominations

You may type your submission in this webform or attach a separate document (2 page maximum) with your statement of nomination. Only one format is required.

SUBMISSION ATTACHMENT (Option 1):

You have the option to attach your submission as a separate document. (Accepted Formats: .txt, .rtf, .pdf, .doc)

STATEMENT OF NOMINATION (Option 2):

Student Information

Name: *

Email: *

Phone: *

Please type your phone number, including area code, in this format: 555-555-5555

TAMU Class of: *

College(s) (Press and hold CTRL to select multiple choices): * Agriculture and Life SciencesArchitectureGeorge Bush School of Government and Public ServiceMays Business SchoolEducation and Human DevelopmentDwight Look College of EngineeringGeosciencesLiberal ArtsScienceVeterinary Medicine & Biomedical Sciences

Major(s): *

Initials: *

Please type your initials as verification for the above information.

Questions?

If you have any questions, please contact Vicki Dobiyanski at vdobiyanski@stuact.tamu.edu or 979.458.2987.