NCSS 1787 Prize Committee Application Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please provide a preferred contact phone number
School/Institution/Company
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please indicate any other committees on which you are willing to apply to serve with this same application.
Archives Committee
Awards Committee
Diversity, Equity and Inclusion in the Social Studies Committee
Government and Public Relations Committee
International Visitors Committee
Membership Committee
Publications Committee
About You
Are you a current member of NCSS?
Yes
No
What is your age?
Under 25
25-34
35-44
45-54
55-64
65+
I prefer not to answer
What is your gender?
Female/Woman
Gender non-conforming/ Genderqueer
Male/Man
TransFemale/TransWoman
TransMale/TransMan
None of these choices
I prefer not to answer
What is your sexual orientation?
Bisexual
Gay
Lesbian
Queer
Straight
None of these choices
I prefer not to answer
What is your ethnicity?
American Indian or Alaska Native
Asian
Black or African-American
Hispanic, Latino or Spanish origin
Native Hawaiian or Other Pacific Islander
White
Two or More Combined
I prefer not to answer
At which level(s) do you teach and/or supervise? (check all that apply)
Early Childhood
Elementary 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 supervisor
I prefer not to answer
Other
Which social studies disciplines do you teach and/or supervise? (check all that apply)
Anthropology
Archaeology
Civics/Government
Economics
Geography
History (U.S.)
History (World)
Law-Related Education
Philosophy
Political Science
Psychology
Religious Studies
Sociology
Social Studies
I am not a teacher or supervisor
I prefer not to answer
Other
Where do you work?
Public School
Private, Independent or Parochial School
Charter School
College or University
Non-Profit Organization
Business/Consulting
I prefer not to answer
In which location is your school?
Rural
Suburban
Urban
Resumé/CV
Browse Files
Drag and drop files here
Choose a file
Please upload a brief (3 page max) resumé/ CV
Cancel
of
Submit
Should be Empty: