CCSS Service Award Nomination Form
The Connecticut Council for the Social Studies is proud to sponsor the CCSS Service Award to honor outstanding non-teaching professionals. Criteria includes:

•Teaching, non-teaching or retired teaching professional.
•Dedicated, continuous service to further the goals of the Connecticut Council for the Social Studies.

Contact Dr. Kate McGrath, mcgrathkae@ccsu.edu, if you have any questions.

An asterisk (*) denotes required information.
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Email *
Information about Nominee
Full Name of Nominee *
Last Name, First Name
Nominee's Address *
Street, Town/City, State and Zip Code
Phone number *
Nominee's phone number(s). Please indicate home, business or cell.
Nominee's Email Address *
Name of Employer and Address *
Indicate the district or organization the nominee retired from if the nominee is retired.  
Qualifications *
Please provide the reasons why you are nominating this candidate.
Accomplishments and Achievements *
Additional Information
Please add anything else you feel is important regarding this candidate.
Information about the Person Submitting the Nomination
Name *
Title, Position, Employer *
Contact Information *
Phone number
Relationship to Nominee *
Explain how you know the nominee.
A copy of your responses will be emailed to the address you provided.
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