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MENTOR A PTA AWARD

MISSION-VISION: Participatory-Recognition
For this award, a local unit PTA must adopt another PTA. The PTA must provide a helping hand to the adopted PTA by any of the following means: Training, Leadership, or Financial Support. The purpose is to provide assistance to the adopted PTA in the implementation of the PTA Objects and Goals.
Deadline: May 1, 2017
Membership dues must have already been paid prior to the submission of this application.
Full Name of PTA/PTSA(*)
Please type your full name.

(As listed on your Bylaws - No abbreviations)

County(*)
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National PTA Local Unit Number:(*)
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Name of Mentored PTA:(*)
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County of Mentored PTA(*)
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Enter Date of Partnership:
Date of Partnership(*)

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Type of Assistance Provided(*)
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REASON FOR MENTORING(*)
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Bylaws must be current to receive this award. Enter the Bylaws Approved Date below.
Bylaws Approval Date(*)

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Name of PTA(*)
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PTA Address(*)
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PTA Phone Number(*)
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Principal's Last Name(*)
Invalid Input

Principal's First Name(*)
Invalid Input

Principal's Email(*)
Invalid Input

All principals of winning schools will be notified via email.

President's Last Name(*)
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President's First Name(*)
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President's Home/Cell Phone(*)
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Please provide a phone number where you can be reached after hours or during the summer if needed.

President's Home Address(*)
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President's Email(*)
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Applicant's Last Name(*)
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Applicant's First Name(*)
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Applicant's Email(*)
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Applicant's Title or Position(*)
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Certification(*)
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