NOTE: This application has four parts. All parts must be submitted to qualify. ONLY a PTA, PTSA, SEPTA Unit or Council, Region PTA, or the NYS Board of Directors may submit this application!

PART I – Contact information of the individual or group being nominated.

PART II – Information about the Nominee's positions in PTA.

PART III – Based on the leadership qualities listed, provide 3 or more examples of leadership qualities demonstrated by the Nominee within the PTA. List examples of the Nominee’s volunteer service beyond the scope of the PTA position, inside or outside of your unit.

PART IV – At least two letters of recommendation are required for each application. Contact information along with the letters of recommendation must be submitted with your application in order to complete the process. (No application will be considered unless both portions are completed).  

Send this online Letter of Recommendation form link to the references for them to fill out and submit: