
Sponsored by Prentice Hall
Supplementary Candidate's Record Form
When completed, return this form to:
Robert Dennison
OBTA Director, Texas
10406 Jockey Club Drive
Houston, TX 77065
home phone: 281-955-6586
email: dennisonrz@gmail.com
You are still eligible for an award even though you were not
selected
last year. Some candidates are selected several years after their
initial
nomination. If you are interested in being considered this year, please
take a few minutes to bring your records up to date. Use additional
sheets
if necessary. Please mail this form to your state OBTA Director.
Name:
School Name:
School Address:
Street or Box Number
City State/Province Zip
School Telephone: Home Telephone:
Home Address:
Street or Box Number
City State/Province Zip
Please attach a copy of your current class schedule.
On the reverse side of this form, please add any information
you feel
should be considered since you completed your original application
form.
Please be sure to include national conventions and
state/province/regional
biological meetings of more than one day's duration attended since
submitting
last form, job changes, honors and awards received, and courses
studied.
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
E-mail:
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
(continued)
--------------------------------------------------------------------------------
If you feel that additional recommendations would be helpful, please
provide the following information on the persons you have asked to
submit
recommendations.
Name Title/Position Address
1.
2.
3.
(x) Videotape and/or site visit will be required of
finalists only.
Finalists will be notified.
Note: OBTA recipients are chosen by an independent Selection
Committee
composed of biology teachers, science supervisors, school
administrators,
and representatives from industry in each jurisdiction where the award
is presented. Only one recipient may be selected each year per
jurisdiction.
The decision of the selection panel is final, and it is the policy of
the
NABT National Office and its staff, officers, and Board of Directors
not
to interfere in the evaluation process. All application materials and
evaluation
instruments as well as names and addresses of nominees and Selection
Committee
members are completely confidential and may not be released to the
public.
All general questions about the program or the evaluation process
should
be directed to the NABT National Office, 1313 Dolley Madison Blvd, Suite 402, McLean, VA. 22101 E-mail: office@nabt.org toll-free at (888) 501-NABT or (703) 264-9696.