THE 500+ PTA SERVICE CLUB

MISSION-VISION: Judged-Recognition
The 500+ PTA Service Club: Nominate any person who has been a member of a local unit, a county council unit or a state PTA unit for at least 25 years. 20 honorees will be chosen; past Florida PTA Presidents will be automatically inducted without having to be nominated.
Deadline: May 1, 2017
Membership dues must have already been paid prior to the submission of this application.
County(*)
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Does the person hold a current PTA/PTSA Membership?(*)
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List the PTA units this person has been a card carrying member of.(*)
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Why the nominee deserves to be inducted into the 500+ PTA Service Club.(*)
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Nominee Last Name(*)
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Nominee First Name(*)
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First Name of Applicant(*)
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Last Name of Applicant(*)
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Applicant Phone Number(*)
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Please provide phone number where you can be reached after hours or during the summer if needed.

Email of Applicant(*)
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Title or Position of Applicant(*)
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