The following form may be used to provide the following pieces of the nomination packet for both the Distinguished Service Award and the Gatling Award:

  • A minimum of three (3) and a maximum of five (5) letters of support. For the Gatling Award, one must be from the nominee's supervisor .
  • A vitae or resume of the nominee (optional)


Choose the award you wish to nominate for:

Michael C. Jackson Distinguished Service Award
Deadline March 29
Read award criteria before nominating!
  Herman and Emma Gatling Award for Outstanding Science Education Leadership
Must be a member, Deadline October 1
Read award criteria before nominating!  
Nominee's Name

Nominator/Letter Writer Information
I am providing
Letter of Support 





Work Phone


Work Address




Support Letter / Vitae
Feel free to copy and paste from a word processing program



Join NCSLA today! 


NCSLA is seeking new members interested in

  •  increasing the number of students entering science careers
  •  improving teacher preparation in science fields
  •  advancing the future of science education in NC
  •  opportunities to demonstrate leadership

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