ACS SUMMER TEACHING WORKSHOP


Rollins College

Participant Nomination Form

 

Please note: Nomination of participants by approval of Dean only.

One space is reserved for each institution until February 1st. Please nominate as many as two additional participants for a total of three nominations. We will let you know by late February how many of your additional nominations we will be able to accommodate. Most schools will be able to send two participants.

College:
Dean:
   
Participant 1:
Title & Department:
Snail-Mail Office Address
including Zip Code:
Office Phone:        E-Mail:
 
Participant 2:
Title & Department:
Snail-Mail Office Address
including Zip Code:
OfficePhone:        E-Mail:
 
Participant 3:
Title & Department:
Snail-Mail Office Address
including Zip Code:
Office Phone:        E-Mail:
   
Comments:
             

 

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