Nomination Form

transparentminipegasus.gif (998 bytes)Pegasus PRIDE Awardtransparentminipegasus.gif (998 bytes)

Please type or very carefully print all information.

I nominate the following teacher for CT COLT recognition according to the established criteria.

Name of Nominee:

Language(s) taught:

Number of years as full-time teacher of foreign languages:

Nominee has been a member of CT COLT since

CT COLT Region:

#1 Northwest

#2 North Central

#3 Northeast

#4 West Central

#5 Southwest

#6 South Central

#7 East Central

#8 Southeast

Nominee's School:

School Address (Street/Town/State/Zip+4):

School Phone Number: (please include area code)

Nominator's Name:

Nominator's Phone Number:  (please include area code)

Name of Superintendent:

Address (Street/Town/State/Zip+4):

Write a short (50 words maximum) statement outlining a special quality this teacher has that makes him or her worthy of receiving the Pegasus PRIDE Award.

 

Return no later than August 15th to:

Jaya Vijayasekar
CT COLT Pegasus Awards
37 Saint Andrews
Glastonbury, CT 06033

 

Awards