MATHEMATICAL ASSOCIATION OF AMERICA
                               Awards for
       Distinguished College or University Teaching of Mathematics

                             Nomination Form
 PLEASE TYPE
 Nominee's Name (first name first): ___________________________________

 College or University Affiliation: ___________________________________

 College or University Address:  ______________________________________

 ______________________________________________________________________

 City: ________________________  State: __________ Zip: _______________

 Nominee's email address: _____________________________________________

 Is the nominee a current member of the MAA?  _________________________
 
 Nominee's number of years teaching
 experience in a mathematical science:    _____________________________
 
 Has the nominee taught at least half time in a mathematical 
 science during the current academic year or during the  
 previous year if on approved leave or sabbatical?         ____________ 
 
 In the space below, please briefly describe the unusual personal and 
 professional qualities of the nomninee that contribute to his or her 
 extraordinary teaching success.  
 
 
 
 
 
 


 
 
 
 






          



 Name of nominator (first name first): ________________________________
 
 Address of nominator: ________________________________________________
 
 Telephone: ______________________     Email: _________________________   

 Nominator's signature: _________________________  Date: ______________