ΦBKNCA Teaching Excellence Nomination Form - Deadline November 30

Dear Fellow Phi Betes:

We are seeking nominations for this prestigious award, which carries an honorarium as well as a certificate. Please nominate a faculty member of any rank you consider to be outstanding: someone who taught an especially memorable course or who impressed you as an unusually skilled educator, who had a special impact on your education, career, or life, or whom you found inspiring and admirable. Making such a nomination is an appropriate and satisfying way of expressing your gratitude to that person. Winners will be honored at Phi Beta Kappa Northern California Association’s Annual May Banquet.

Faculty members of any rank (including lecturers and emeriti) at the following schools are eligible for nomination: Mills College, San Francisco State University, Santa Clara University, Stanford University, UC Berkeley, UC Davis, UC Santa Cruz, and The University of the Pacific. Please give as complete information as possible. Your nominees need not be Phi Beta Kappa members.

Nominators must be members of the Northern California Association or PBK initiates at Universities serviced by the Association. The nominator must have been a student of the nominee or mentored by the nominee.

You may make more than one nomination, but please use a separate form for each nomination you make.

Fill the form completely. When you are finished, press the "Submit" button below the comments.

Required fields are bold. When you have entered your information, click the "Submit" button at the bottom of the form to send this information to ΦBKNCA.

Thank you
Melissa Xanthe Stevens, Teaching Excellence Chair
Ray Hendess, Communications Officer

Nominee Information
Full Name of Nominee:
Academic Rank (Assistant Professor, Associate Professor, Professor, Lecturer, Emeritus, Other:
Nominee's Home Address:
Nominee's Email:
Nominee's Home Phone:
Nominee's Office Phone:
Subject(s) Taught:
Course(s) and Date(s) Taken:
Nominee's Department and School:

Your Information
Your Name:
Your Home Address:
Address2 if needed:
City:
State:
ZIP:

Your Email:
Your Home Phone:
Your Office Phone:
Your Cell Phone:

Your School:
Class Year and Date of Election to ФBK:
Comments: Please tell us, in as much detail as you can, why and how this person stands out in your mind.