OHIO SECTION MATHEMATICAL ASSOCIATION OF AMERICA
AWARD FOR DISTINGUISHED COLLEGE OR UNIVERSITY TEACHING OF MATHEMATICS
Nomination Form
Name of Nominee _______________________________________________________________
Name of College or University__________________________________________________
College or University Address__________________________________________________
College Telephone(____)_________________ Home Telephone (___)_________________
Number of years of teaching experience in a mathematical science_______________
Has the nominee taught at least half time in a mathematical science for the
past three years (not counting a sabbatical period)? ____________
Activities related to teaching_________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Publications related to teaching if any (List no more than five)________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Membership and significant activities in relevant professional
organizations__________________________________________________________________
_______________________________________________________________________________
Previous awards for teaching, if any___________________________________________
_______________________________________________________________________________
Additional relevant information________________________________________________
_______________________________________________________________________________
Name of Nominator (Last name first)____________________________________________
Address of Nominator___________________________________________________________
_______________________________________
Date ___________________