ΦBKNCA Teaching Excellence Nomination Form

Dear Fellow Phi Betes:

We are seeking nominations for this prestigious award, which carries an honorarium as well as a certificate. Please nominate a professor 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.

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 "Send Bar" below the comments.

If you are uncomfortable with a web form, go here to get a printable copy which you can mail.

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

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:
Date(s) of Course(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.

Deadline: November 30, 2014 for May 2015 Award. Thank you for your help!

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Questions, Contact: Narcinda R. Lerner, Ph.D.
Teaching Excellence Chair
Phone: (650) 851-0137 FAX: (650) 529-9369 or email teaching@pbknca.org