1787 Prize Committee

NCSS 1787 Prize Committee Application Form
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please provide a preferred contact phone number
School/Institution/Company
Address

Street Address

Street Address Line 2

CityState

Zip Code
Please indicate any other committees on which you are willing to apply to serve with this same application.

Archives CommitteeAwards CommitteeDiversity, Equity and Inclusion in the Social Studies CommitteeGovernment and Public Relations CommitteeInternational Visitors CommitteeMembership CommitteePublications Committee
About You
Are you a current member of NCSS?

YesNo
What is your age?

Under 2525-3435-4445-5455-6465+I prefer not to answer
What is your gender?

Female/WomanGender non-conforming/ GenderqueerMale/ManTransFemale/TransWomanTransMale/TransManNone of these choicesI prefer not to answer
What is your sexual orientation?

BisexualGayLesbianQueerStraightNone of these choicesI prefer not to answer
What is your ethnicity?

American Indian or Alaska NativeAsianBlack or African-AmericanHispanic, Latino or Spanish originNative Hawaiian or Other Pacific IslanderWhiteTwo or More CombinedI prefer not to answer
At which level(s) do you teach and/or supervise? (check all that apply)

Early ChildhoodElementary Level (Grades K-5)Middle Level (Grades 6-8)Secondary Level (Grades 9-12)Community College (2-year)College/University (4-year)College/University (Graduate)I am not a teacher or supervisorI prefer not to answerOther
Which social studies disciplines do you teach and/or supervise? (check all that apply)

AnthropologyArchaeologyCivics/GovernmentEconomicsGeographyHistory (U.S.)History (World)Law-Related EducationPhilosophyPolitical SciencePsychologyReligious StudiesSociologySocial StudiesI am not a teacher or supervisorI prefer not to answerOther
Where do you work?

Public SchoolPrivate, Independent or Parochial SchoolCharter SchoolCollege or UniversityNon-Profit OrganizationBusiness/ConsultingI prefer not to answer
In which location is your school?

RuralSuburbanUrban
Resumé/CV

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NCSS 1787 Prize Committee Application Form

About You