Candidate

School: A.I. Prince Technical High School Academy of Aerospace and Engineering Academy of Computer Science and Engineering Academy of Information Tech. and Engineering Academy of International Studies Academy of Our Lady of Mercy - Lauralton Hall Academy of Science and Innovation Academy of the Holy Family Achievement First Hartford High School Amistad High School Amity Regional High School Ansonia High School Arts at the Capitol Theater Magnet School Avon High School Bacon Academy Bassick High School Berlin High School Bethel High School Bloomfield High School Bolton High School Branford High School Brien McMahon High School Bristol Central High School Bristol Eastern High School Brookfield High School Bulkeley High School Bullard-Havens Technical High School Bunnell High School Canton High School Capital Preparatory Magnet School Central High School Cheshire High School Classical Magnet School Coginchaug Reg. High School Conard High School Connecticut International Baccalaureate Academy Coventry High School Cromwell High School Crosby High School Danbury High School Daniel Hand High School Darien High School Derby High School E. C. Goodwin Technical High School E. O. Smith High School East Catholic High School East Granby High School East Hampton High School East Hartford High School East Haven High School East Lyme High School East Windsor High School Eli Whitney Technical High School Ella T. Grasso Southeastern Technical High School Ellington High School Emmett O'Brien Technical High School Enfield High School Fairfield College Preparatory School Fairfield Ludlowe High School Fairfield Warde High School Farmington High School Francis T. Maloney High School Glastonbury High School Granby Memorial High School Greenwich High School Griswold High School Guilford High School H.C. Wilcox Technical High School Haddam Killingworth High School Hamden High School Hartford Magnet Trinity College Academy Hartford Magnet Trinity College Academy Hartford Public High School Harvard H. Ellis Technical High School Henry Abbott Technical High School Hill Regional Career High School Holy Cross High School Housatonic Valley Reg. High School Howell Cheney Technical High School Immaculate High School J.M. Wright Technical High School James Hillhouse High School Joel Barlow High School John F. Kennedy High School Jonathan Law High School Joseph A. Foran High School Killingly High School Kolbe-Cathedral High School Lakeview High School Ledyard High School Lewis Mills High School Lyman Hall High School Lyman Memorial High School Lyme-Old Lyme High School Manchester High School Masuk High School Mercy High School Middletown High School Montville High School Nathan Hale Ray High School Naugatuck High School New Britain High School New Canaan High School New Fairfield High School New London High School New Milford High School Newington High School Newtown High School Nonnewaug High School North Branford High School North Haven High School Northwest Catholic High School Northwestern Regional High School Norwalk High School Norwich Free Academy Norwich Technical High School Notre Dame High School Notre Dame Preparatory School of S.H.U. O.H. Platt High School Old Saybrook High School Oliver Wolcott Technical High School Oxford High School Parish Hill Middle-High School Plainfield High School Plainville High School Platt Technical High School Pomperaug High School Portland High School Putnam High School RHAM High School Ridgefield High School Robert E. Fitch High School Rockville High School Rocky Hill High School Sacred Heart Academy Saint Bernard School Seymour High School Sheehan High School Shelton High School Shepaug Valley School Simsbury High School Somers High School South Windsor High School Southington High School Sports and Medical Sciences Academy St. Joseph High School St. Paul Catholic High School Stafford High School Stamford High School Staples High School Stonington High School Stratford High School Suffield High School Terryville High School The Gilbert School The Morgan School The Woodstock Academy Thomaston High School Tolland High School Torrington High School Tourtellotte Memorial High School Trumbull High School University High School of Science and Engineering USD1 School 1 USD1 School 2 Valley Regional High School Vinal Technical High School W.F. Kaynor Technical High School Warren Harding High School Waterbury Career Academy High School Waterford High School Watertown High School Weaver High School West Haven High School Westbrook High School Westhill High School Weston High School Wethersfield High School Wheeler High School Wilbur Cross High School Wilby High School William H. Hall High School Wilton High School Windham High School Windham Technical High School Windsor High School Windsor Locks High School Wolcott High School Woodland Regional High School Xavier High School District: Candidate's Name: Position:

Candidate Contact Info

School Phone: Mobile Phone: School EMail: School Address: City: Zip:

Professional Experience

Years as a secondary school principal: Years in current position: Position 1: School: System: Dates: Position 2: School: System: Dates: Position 3: School: System: Dates: Position 4: School: System: Dates: Position 5: School: System: Dates:

Nominator Info

Nominator's Name: Position: School: District: EMail: Phone:

Attest

By checking this box I attest that the candidate has served as a principal at one or more high schools for a minimum of three full consecutive years at the time of nomination.Only one nomination per district will be considered. All nomination forms must be endorsed by the district superintendent. By checking this box I attest that the candidate's superintendent is aware of and in support of this nomination. CAS will not accept any nominations without the express support of the candidate's superintendent.