Honorary Service Award Nomination Form
The Palo Alto Council of PTAs (PTAC) invite you to nominate worthy individuals for an award. PTAC may bestow one of several California State PTA Honorary Service Awards to individuals or organizations that have demonstrated outstanding service to children and youth in our community. The individuals or organization nominated must make far-reaching, worthy, and notable contributions. The PTA Council HSA Committee selects persons or groups who have benefited children and youth on a district-wide or Palo Alto community level. Please see the PTA Council web site (www.paloaltopta.org) for past recipients.

AWARD DESCRIPTIONS
2019 Very Special Person Award: This award may be given to individuals or organizations to recognize having contributed to the school community in a special way.

2019 Honorary Service Award: This award may be given to an individual or organization in special recognition of outstanding service to children and youth.

2019 Continuing Service Award: This award may be given to an individual or organization in special recognition of continued service to children and youth.

Sally Siegel Award: This is the highest honor bestowed by the Palo Alto PTA Council. Sally was an education activist and first winner of the honor.

In addition, each Palo Alto School PTA Executive Board may nominate one or two people for a unit based award. High School PTSAs may nominate up to three people. The nominees can be volunteers, staff or students. These nominations are sent to the HSA committee by PTA and PTSA Presidents.

Please nominate outstanding people or organizations that have made a difference in the Palo Alto Unified School District by no later than midnight FRIDAY MARCH 1, 2019. The chosen recipients will be announced at our annual Honorary Service Award Event on Thursday April 25th, 2019 from 4-6 at the Palo Alto Art Center.

Email address *
Name of Nominee: *
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Phone Number of Nominee: *
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Email of Nominee: *
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Reason for nomination (Please write a short paragraph. You may be contacted for more information.) *
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If the nominee is selected for an award, can you provide a photo? *
Submitted by name: *
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Email address of person submitting nomination *
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Phone number of person submitting nomination: *
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