Nominator Information

Full Name: Nominator Home/Cell Phone: Nominator Email Address:

Nominee Information

Full Name: Nominee Home/Cell Phone: Nominee Email Address:

If team, please list additional members.

Team Member One Name: Team Member Two Name: Team Member Three Name:

Class Information

Check the grade(s) where this activity is being taught:

K	1	2	3	4	5	6	7	8	9	10	11	12

Check the subject(s) where this activity is being taught:

Math

Science

Engineering

Technology

Other (Please list below)

Other Subjects:

School Information:

School Name: School Phone: Street Address: City / Town: Zip Code: Principal's Name:

About This Nominee

In 500 words or less, please describe an innovative unit plan, classroom project, research project or other related set of activities. Describe how it:

1. Stimulates the interest of, and offers equal access to all students;
2. Aligns with the Massachusetts frameworks and technology literacy standards;
3. Improves the study of science, technology, engineering or mathematics (can include more then one);
4. Produces measurable outcomes;
5. Incorporates the use of technology for teaching and learning; and
6. Includes real world applications.

Note: Only the first 500 words will be accepted In 100 words or less, please describe how you will utilize the Above & Beyond Award to support your activity: Note: Only the first 100 words will be accepted

Please send a letter of recommendation from an Administrator in your district to:

Heather Johnson
MassTLC Ed Foundation
One Exeter Plaza
Boston, MA 02116
-or-
Email: heather@masstlc.org

Note: Successful awards winners will be expected to submit a brief write-up of their winning project