Connecticut Council Of Language Teachers![]()
AWARD FOR EXCELLENCE
NOMINATION FORM
Please type or print all information very neatly to avoid spelling mistakes.
| Name of Nominating Teacher:____________________________________________________________________ |
| Nominating Teacher's E-Mail Address:_____________________________________________ |
| School Name:__________________________________________________________________________________ |
| School Address:________________________________________________________________________________ |
| Phone Number (School)_____________________ (Home)________________________ |
| Superintendent:________________________________________________________________________________ |
|
| Principal:_____________________________________________________________________________________ |
|
| Students Nominated | Language and Level | Numerical Average (93% or above) |
Evidence of Positive Attitude |
Date of Awards Ceremony:_________________________________
_____CT COLT member (fee paid)
_____Non-CT COLT member, $25.00 one year membership enclosed
_____# students X $3.00
_____Total Enclosed (check payable to CT COLT)
Mail form and
check
to the address below. |
386 Sterling Place Hamden CT 06514 |
If
there are questions, call
Maria DeStefanis |