THOA, Inc. OUTSTANDING TEACHER AWARD APPLICATION

NAME ______________________________________

CURRENT TEACHING POSITION ________________________________

NUMBER OF YEARS AS A CONSECUTIVE THOA, INC. MEMBER _________

NUMBER OF YEARS AS A HEALTH SCIENCE TECHNOLOGY TEACHER __________

Please supply the committee with as much information as will adequately cover the following topics. You may write on the back if necessary. Please bring this form with you to the interview.

1. HEALTH CARE BACKGROUND SUMMARY:
   
   
   
   
   
   
2. TEACHING EXPERIENCE (include subjects taught, etc.):
   
   
   
   
   
   
3. TEACHING CONTRIBUTIONS (HSTE specifically and education in general. Include innovative teaching techniques, curriculum writing, articulation with academics, what you do I the classroom that makes you unique and effective):
   
   
   
   
   
   
4. HOSA INVOLVEMENT (as a sponsor and in promoting student participation):
   
   
   
   
   
   
5. ACTE/THOA/TCTC INVOLVEMENT AND CONTRIBUTIONS:
   
   
   
   
   
   
6. OTHER PROFESSIONAL CONTRIBUTIONS:
   
   
   
   
   
   
7. COMMUNITY/CIVIC CONTRIBUTIONS:
   
   
   
   
   
   
8. SUMMARY OF YOUR PHILOSOPHY OF CAREER AND TECHNOLOGY EDUCATION: