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Awards, Scholarships and Grants Foundation for Genetic Technology Joseph Waurin Excellence in Education Award Application Instructions
PURPOSE: To acknowledge and honor a genetic educator who has demonstrated outstanding professional capabilities in the teaching of students at either the graduate or undergraduate level. ELIGIBILITY: SELECTION CRITERIA:
NOMINATION PROCEDURE: 1. Individuals may be nominated either by students, former students, or colleagues. 2. One (1) original and four (4) duplicate sets of all materials for each nomination must be submitted to the FGT and be post marked by the deadline. The Foundation for Genetic Technology reserves the right not to process applications found to be late or incomplete as of the application postmark deadlines. These documents should be sent in a single packet: a. The completed application form (below). b. A letter of nomination in support of the nominee from a student, former student or colleague. The nominator’s name and association with the nominee must be included. c. The names and contact information for 2-3 additional references. Supporting letters from the references may also accompany the application. d. An essay by the nominee describing how they fit the selection criteria and their accomplishments (including evidence of continuing education both in new genetic technologies and new educational pedagogy, if possible). e .An essay from a student (can be the same as the nominator) explaining why the nominee should be given the award. f. Nominee must supply current curriculum vitae, documentation of teaching experience, AGT membership, NCA certification and course curriculum(s) [to evaluate the teaching of advanced technology]. All materials are to be sent to: Foundation for Genetic Technology Barbara J. Kaplan Scholarship P.O. Box 625 Biloxi, MS 39533-0625 Note: All letters/essays should address the nominee’s strengths in teaching, accomplishments and ways in which their teaching or administration techniques make them outstanding educators. NOTIFICATION PROCEDURE 1. The award recipient will be notified by phone by the Chair of the Awards & Scholarships Committee with a confirmation letter to follow. 2. Nominees not selected will be notified by letter and will be congratulated for having been nominated. 3. The monetary award will be sent directly to the award recipient at the time of selection. A certificate will be presented to the award recipient at the Annual Meeting of the Association of Genetic Technologists. . If the recipient is unable to attend the Annual Meeting a representative may accept the certificate on his/her behalf.
Foundation for Genetic Technology Joseph Waurin Excellence in Education Award Application
DUE DATE : Monday, February 5, 2007Deadline: Must be Postmarked by February 5, 2007 Mail To: Foundation for Genetic Technology Joseph Waurin Excellence in Education Award P.O. Box 625 Biloxi, MS 39533-0625 SECTION I- Biographical Information NOMINEE’S NAME : _________________________________________________________________ Last First Middle Initial ADDRESS: ___________________________________________________________________________________________________________________________________________________________________________________________________ Street City State Country Zip Code PHONE NUMBER:_____________________ E-mail Address________________________ SOCIALSECURITY#_________________________ AGT MEMBER #:______________________________ NCA MEMBER #:______________________________ Please enclose a photocopy of NCA card
NAME of TEACHING AFFILLIATION/COLLEGE/UNIVERSITY/PROGRAM:_______________________________________________________________________________________ PHONE #: (___)________________ Number of years of teaching experience:_____________________________ CATEGORY: Graduate Program:____________ Undergraduate Program:___________ Certificate Program:___________ Canadian Program:_________________ Molecular Diagnostic Program:_______ Other:______________________ SECTION II Attach all supporting letters, essays and documentation as described in the application instructions. SECTION III-Certification Statement I affirm that, to the best of my knowledge, the above statements are correct. I understand that I am responsible for the submission of all required documents within the deadlines. The Foundation for Genetic Technology reserves the right not to process applications found to be late or incomplete. ________________________________________________________ Signature Date
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