AAPT.org - American Association of Physics Teachers
Nomination Form for the Spring 2013 New Faculty Workshop

June 17-20, 2013
College Park, MD

The deadline for nominations is March 15, 2013

Please enter all requested information. Begin by entering the nominee's information and finish by entering your name, email address, and any additional comments in support of the nomination. A confirmation will be sent to you and the nominee.

Note: If you are a department chair and wish to apply to be a participant in the workshop, please ask your Dean to submit the nomination form using the Dean's name and email address in substitution for Department Chair name and email address on the form.
 
First Name:*
Last Name:*
Title:*
College/University Affiliation:*
College/University Address:*
 
City:*
State:*
Zip:*
Institution Type:*
Phone:*  Fax:
Email:*
Gender:* Male Female
Primary Specialty:* Physics Astronomy
Subdiscipline:
(optional)
Year of Initial Appointment:
*
Department Chair:*
Department Chair Email:*
Additional Comments
in Support of Nomination: