2016 New Jersey School Counselor Association (NJSCA) - Counselor of the County
DIRECTIONS: Please complete the nomination form below with the Nominee's information by Friday, March 4, 2016. If you have any questions, contact Tim Conway at tconway1004@gmail.com.
Person's Name Who is Nominating the Counselor of the County *
Your answer
Nominee's Name *
Your answer
County *
Your answer
Home Address *
Your answer
Home Telephone Number *
Your answer
Email Address *
Your answer
School Name *
Your answer
School Address *
Your answer
School Telephone Number *
Your answer
Nominee's Current Work Level: *
How many years has the Nominee been employed as a school counselor? *
Your answer
Does the Nominee hold certification as a school counselor? *
Is the Nominee a member of your county school counselor association? *
Does the Nominee hold a leadership position in your local county association? If so, what position? *
Your answer
Is the Nominee a member of the NJ School Counselor Association? *
Why does your Nominee deserve this recognition? *
Your answer
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