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Mathematical Association of America -- American Mathematics Competitions

Sliffe Awards

High School Teacher Nomination Form / for Student Team

The 2008 AMC 12 team from:
 School :
CEEB:
 Address:  Phone:
 City:  State:  Zip: -

having placed in the top 60 schools of those participating in the 2008 American Mathematics Competitions 12, would like to nominate the following teacher for this award:  (Only one name may be submitted from each participating school.  The Mathematics Teacher must be currently employed by the participating school from which the student Nomination is submitted.)

Title First Last

The rationale for this nomination is as follows:

Nomination submitted by the following 2008 AMC 12 Team Members:


_______________________
Signature

_______________________
Signature

_______________________
Signature
First Name Last Name
First Name Last Name
First Name Last Name

Email

Email

Email
/ /
Month/Day/Year
/ /
Month/Day/Year
/ /
Month/Day/Year

Please complete this form by May 9, 2008, and

  1. If there are more than three team members, please add the additional signature lines on the back.
  2. Print off the completed form, having each of the Team members sign it, and send the nomination in the included "postage paid" envelope. 
  3. When you have printed the form then submit the form electronically with the submit button, so I know receive the information as soon as possible and know it is on the way.
    Thank You.

_______________________
Signature

_______________________
Signature

_______________________
Signature
First Name Last Name
First Name Last Name
First Name Last Name

Email

Email

Email
/ /
Month/Day/Year
/ /
Month/Day/Year
/ /
Month/Day/Year


_______________________
Signature

_______________________
Signature

_______________________
Signature
First Name Last Name
First Name Last Name
First Name Last Name

Email

Email

Email
/ /
Month/Day/Year
/ /
Month/Day/Year
/ /
Month/Day/Year

If the envelope is lost, please send the printed, signed copy to:

RuthAnn Royer, AMC Sliffe Coordinator
American Math Competitions,
University of Nebraska- Lincoln,
1740 Vine Street,
Lincoln, NE 68588-0658.

Thank you ! Sliffe Home