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SSP Teacher Nomination Form
Directions: Teachers, please use this form to nominate students for the 2008 summer session of The Shodor Scholars Program in Computational Science (SSP).

Student Information
Enter information about the student you are nominating.
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Name
*
Address
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City
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State
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Zip
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Phone
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Name of Parent/Guardian
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Age
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Sex
Female
Male
*
Grade student will enter in the 2008-2009 school year
(If you are a home school student, estimate an approximate grade level.)
Teacher Information
Enter your contact information.
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Name
*
Email
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School Name
*
School Type
Public School
Private School
Home School
Other
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Phone
Nomination
*
Please write a description of this student's demonstrated excellence in science, mathematics, and/or computing.
*
How did you hear about the program?:
(This is important to us, so please complete this field.)
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