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Potomac and Chesapeake Association for College Admission Counseling
PCACAC 
Counselor of the Year Nomination Form


Please complete the quick survey below to help recognize dedicated colleagues in both College and High School counseling roles. Ten awards are presented annually to recognize outstanding secondary school counselors and college admissions counselors from each of PCACAC’s four states and the District of Columbia. The criteria for nominations include professional leadership, thoroughness, honesty, sensitivity, patience and, of course, a sense of humor. The selected recipients will be announced at the PCACAC annual conference at the Williamsburg Marriott Hunt Valley Inn, April 27-29. We hope you will join us at the conference in celebrating the accomplishments of our awardees.
Nominee’s Name:
Title:

Home Phone:

E-Mail:

Institution:

Work Phone:
Home Address:
City:

State:

Zip:
Work Address:

City:

State:

Zip:

Number of years in current position:
If fewer than three years, please indicate the nominee’s previous title(s), institution(s), and number of years in the position(s):
1) Title: Institution: #Years:
2) Title: Institution: #Years:

--------------------Your Information--------------------

Nominator’s Name:

Title:

Institution:

Work phone:

Address:

City: State: Zip:
E-mail:


1. Tell us why you believe this person should be the Counselor of the Year. (limit 2000 characters)