The North Carolina Council of Teachers of Mathematics

The North Carolina Council of Teachers of Mathematics

OUTSTANDING ELEMENTARY MATHEMATICS TEACHERS AWARDS PROGRAM
NON-PUBLIC SCHOOLS OF NORTH CAROLINA

Return this form to:

Toni Meyer
Mathematics & Science Section
Dept. of Public Instruction
301 N. Wilmington Street
Raleigh, NC 27601-2825

Personal Information

Teacher’s Name: _______________________________________Grade Level:______________

Home Address: _________________________________________________________________

City, State, Zip: _________________________________________________________________

School: ________________________________________________________________________

School Address: _________________________________________________________________

City, State, Zip: __________________________________________________________________

Home Phone: _____________________________School Phone: _________________________

School System: ____________________________Yrs. Of Teaching Experience: ____________

Principal: _________________________________________

Educational Training

College(s) Attended: Degree’s Received:

________________________________________ ____________________________

Mathematics-Related In-Service

_______________________________________________________________________________

_______ ________________________________________________________________________

_______________________________________________________________________________

III. Professional Activities (Leadership positions, professional organizations, workshop presentations, etc.)

_______________________________________________________________________________ _______________________________________________________________________________ Respond to the following in narrative form:

IV. Extracurricular Mathematics Activities (Contests, Field Days, Projects, Math Month
Activities, etc.):

_______________________________________________________________________________

Techniques Used to Teach Mathematics Effectively:

_______________________________________________________________________________

Contributions Made to Improve the Mathematics Curriculum/Instructional Program in the Schools:

_______________________________________________________________________________

Other resources Used to Enhance/Enrich the Mathematics Program:

_______________________________________________________________________________