Form

Name of PTA/PTSA local unit*

Local unit PTA/PTSA President’s name*

Submitter’s name*

Submitter’s email*

Name of local unit/person being nominated*

In 300 words or less describe how the Program/Nominee/PTA/PTSA supported and accomplished the vision,
mission, and values of PTA. DO NOT REFER TO THE NOMINEE, SCHOOL OR PTA/PTSA BY PROPER
NAME. For example, use “the PTA, The school, The organization, or he/she/they” when applicable.
Narrative*

*Required Fields