Early Bird Award Application Award

MEMBERSHIP: Judged-Recognition PLEASE NOTE; Apply for one award, not all three. See qualifications regarding award eligibility.
Full Name of PTA/PTSA(*)
Please type your full name.

(As listed on your Bylaws - No abbreviations)

National PTA Local Unit Number:(*)
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Indicate which Early Bird Award you are applying(*)
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City(*)
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County(*)
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PTA membership equal to the number of families represented in the school, on day five of the new school year, can qualify for this award. These are the guidelines for determining 100% membership award if school cannot supply number of families with children involved: 75% of students for K-5 (6 year schools) 75% of students for K-8 (7-9 year schools) 80% of students for 3-4 year schools 85% of students for 2 year schools 95% of students for single grade centers
Please check one of the following to apply for this award.
Increase over last year's membership or 100 Percent Membership(*)

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2015-16 Membership Numbers(*)
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Number of Students 15-16(*)
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2016-17 Membership Numbers(*)
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Number of Students 16-17(*)
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Membership dues must have already been paid prior to the submission of this application.
 
Bylaws Approval Date(*)

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Bylaws must be updated within 3 years.
Last Name of Applicant(*)
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First Name of Applicant(*)
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Email of Applicant(*)
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Title or Position of Applicant(*)
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Certification(*)
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