3M National Teaching Fellowship Award Nomination Brief

Mandatory form to be completed after submitting a 3M National Teaching Fellowship Award nomination dossier via Hightail.

Step 1 of 7

Nominee's Information
Salutation
Name*
First Last
Preferred pronoun
- He/him
- She/her
- They/them
Institution*
Current position*
Current department*
Terms of Acceptance
Conference and Retreat*
I am available to attend the Annual STLHE Conference and the 3M Fellows Summit.

Save and Continue Later

Nominee's Contact Information
Email*
Primary phone number*
Secondary phone number (Home, Work, etc.)
Social Media Information
Your Twitter Handle
Your Institution's Twitter Handle
Your Institution's Facebook Handle

Save and Continue Later

Nominator's Contact Information
Name*
First Last
Email*
Primary phone number*
Secondary phone number (Home, Work, etc.)

Save and Continue Later

Nominee's Education and Relevant Learning Experience
Education*
Please list certification followed by institution, (ie. Nursing, University of British Columbia)
Relevant Learning Experience

Save and Continue Later

Employment History
*
Institution Position Start and Finish date (yyyy-yyyy)

Save and Continue Later

Nominee's Department Head
Department Head's Name
First Last
Email
Institution's Provost Information
If your institution does not have a provost, please include the details of someone in a similar position.
Provost's Name*
Sal First Last
Email*
Institution's Public Relations Officer Information
Public Relations Officer Name*
First Last
Email*

Save and Continue Later

Media Contact Information
Name
First Last
Email
Development Office Contact Information
Name
First Last
Email
Alumni Association Contact Information
Name
First Last
Email
Date
Date Format: MM slash DD slash YYYY

Save and Continue Later

STLHE is proudly partnered with:

Contact us

Mailing Address: STLHE/SAPES
5707 St Peters Rd

St Peters, PE

C0A 2A0

Tel: (902) 367-3532

Contact Us Privacy Policy
Connect with us
- Facebook
- Twitter
- LinkedIn
- RSS