CNYCSS AWARDS NOMINATION FORM
Welcome to the CNYCSS online awards form. If you would prefer you can return to the previous page and download a hard copy of the form and submit the form and additional paperwork postmarked by April 3, 2018 to:

CNYCSS Teacher Awards Committee
Sarah Schultheis
2464 Connors Road
Baldwinsville, New York 13027


Part 1 Nomination Form
Complete this online nomination form with all pertinent information and a rationale for the nomination. This form is due no later than April 3, 2018.

Please note that nominator is responsible for ensuring that all necessary paperwork is submitted on behalf of the nominee. Failure to have all paperwork appropriately submitted will nullify the nomination.

Deadline: Submitted Online or Postmarked by April 3, 2018

Please direct any questions to Sarah Schultheis at sschultheis@chittenangoschools.org

Nominee Information
Name of Nominee *
Your answer
Please indicate which award the nominee is being recommended for: *
For more information about each award return to the awards page at cnycss.com
School *
Your answer
School Address *
Your answer
Building Administrator *
Your answer
Building Administrator's Email *
Your answer
Building Administrator's Phone Number with Area Code *
Your answer
Email of Nominee *
Your answer
Nominee Phone Number with Area Code *
Your answer
Nominee Mailing Address *
Your answer
Is nominee a member of the Central New York Council for the Social Studies (CNYCSS)? *
Nominee must be a member in good standing for nomination to be accepted.
Nominator Information:
Name of Nominator *
Your answer
Email of Nominator *
Your answer
Nominator Phone Number with Area Code *
Your answer
Name of Local Newspaper
Your answer
Part 2: Nominator Rationale
Brief paragraph describing reasons for nomination. *
Your answer
Nominator is responsible for submitting the detailed written documentation to support nomination.
Items need to be submitted to Sarah Schultheis via email to sschultheis@chittenangoschools.org or to the following mailing address:

ATTN: Sarah Schultheis
2464 Connors Road
Baldwinsville, NY 13027

-A letter from a peer or supervisor supporting the nominee
-The nominee’s Resume or Curriculum Vitae including a description of the nominee's current teaching assignment
-Optional supporting documentation.
For example, reproductions of newspaper articles, teaching evaluations, personally developed teaching materials, and/or other letters of support.

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