ALABAMA PTA GOLDEN APPLE VERIFICATION FORM

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ALABAMA PTA GOLDEN APPLE VERIFICATION FORM

The Golden Apple Award is presented to all principals whose PTAs/PTSAs submit 100% faculty (certified staff) membership to the Alabama PTA office by October 1.

Faculty is defined as full-time certified personnel. (i.e. teachers, counselors, administrators)

Part-time employees and non-certified personnel are encouraged to join, but are not required to qualify for the Golden Apple Award.

Note: Golden Apple membership counts towards 100% membership award!

o Fill in the information requested below.

o Ensure all faculty members are entered correctly into Givebacks by October 1.

o Remit dues for all faculty members either by check mailed (postmarked by Oct 1) to Alabama PTA or e-check (ACH) initiated through Givebacks to Alabama PTA by October 1.

Certificates will be mailed to the school unless councils choose to present to those local units within their council.

Email *

PTA/PTSA Name (as shown in Givebacks)

Not your personal name.

School District *

PTA/PTSA Category (Select one)

Elementary – Grade Ranges PreK-6th

Middle/Jr High- Grade Ranges 6th-8th

High School - Grade Ranges 9th-12th

Multi School- More than one school or school’s Grade Range includes more than one Category such as K-8. Please also select which school category this form is being submitted if more than one school is part of this PTA

Community- Not attached to specific schools. Example-Special Education PTA

Multi School PTAs only.

One form per principal of each school.

Please select which school this principal represents.

Each school must have 100% certified staff as members. i.e. If the elementary school has 100% of their certified staff as members but the middle school does not, the middle school principal will not receive the award.

Elementary – Grade Ranges PreK-6th

Middle/Jr High- Grade Ranges 6th-8th

High School - Grade Ranges 9th-12th

Clear selection

Number of Certified Staff

The front office staff usually has the list.

Student enrollment as of September 1

Please do not include Pre-K

PTA/PTSA President’s Name *

Best Contact Phone Number for the PTA/PTSA President *

Principal Name

Please include proper title i.e. Dr. Ms. Mrs. Mr. Miss.

This is what will be written on the certificate.

VERIFICATION: I certify 100% of the full-time certified faculty at my school are members of the PTA/PTSA

A typed signature acknowledges an electronic signature and verification.

Type name and position of person submitting this form.

PLEASE mail ALL checks to:

Alabama PTA

3066 ZELDA ROAD

PMB 252
MONTGOMERY, AL 36106

A copy of your responses will be emailed to the address you provided.

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