Life Membership Nominating Form
Texas PTA Life Membership is one of the highest honors that can be presented to an individual for outstanding service to children and youth. If a member has received this award previously and has been involved in PTA’s for 10 years, then they can be honored with the Extended Service Award.

Application deadline: Sunday, February 9, 2020 at 11:59 pm
Nominating for (please check only one): *
Life Member Nominee: *
Your answer
Years as a PTA Member:
Your answer
How is the nominee related to the PTA Community? *
She / He has held many positions in the PTA such as: *
Your answer
Makes a difference in the lives of our children/youth: *
Your answer
Makes a difference in the community: *
Your answer
Makes a difference in the local, state or national PTA because: *
Your answer
I nominate the above named person for the Texas PTA Life Membership Award.
Your name: *
Your answer
Date *
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Submit
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