Advocate in Action Award Submission Form
The Advocate in Action Award provides a way for local unit PTAs and the New York State PTA to recognize and celebrate the accomplishments and involvement of individual unit members in their advocacy efforts.
What is an Advocate in Action? It is someone who works for change, improvement, and growth. To earn your certificate, complete this application, and submit online. Or, surprise a PTA colleague, a student, a teacher, administrator, or a Board of Education member by completing this for them and submitting online.
If you can check off any 8 of the items listed here you qualify as a PTA Advocate in Action! Please check all that apply.
Is a PTA/PTSA/SEPTA member (required)
Attends PTA meetings regularly
Participated in a PTA program
Attended Parent/Teacher conferences
Voted in school elections
Volunteered in your child’s classroom
Is/was a class parent or assisted in a class activity
Served on a PTA committee
Served as a PTA chair
Served as a PTA officer
Served as an officer in student government
Served as a youth member on your PTA, PTSA, SEPTA, PTA Council or Region PTA
Served on a school-based committee, such as a Shared Decision Making Team, Site Based Team, school wellness or parent advisory committee
Wrote an article for your PTA newsletter
Wrote a letter to the editor on a PTA issue
Wrote a letter to a Board of Education member or a local legislator regarding a school issue
Spoke at a Board of Education meeting or at a legislative event regarding a school issue
Recruited/mentored one or more new members
Successful in getting a teacher, administrator or Board of Ed member to join your PTA
Recruited/informed/involved pre-school parents
NAME OF PERSON SUBMITTING APPLICATION(S)
EMAIL OF PERSON SUBMITTING
PTA UNIT NAME
PTA UNIT CODE_ _ - _ _ _
DATE OF RECOGNITION:
PLEASE INDICATE THE NAME(S) AS YOU WISH THEM TO APPEAR ON THE CERTIFICATE(S):
I WOULD LIKE CERTIFICATE(S):
Emailed (no charge)
Mailed ($1 per certificate, 2 signatures required for PTA check payable to NYS PTA)
Click here to make credit card payment ($1 per mailed certificate):
EMAIL THE CERTIFICATE(S) TO:
MAIL THE CERTIFICATE(S) TO:
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This form was created inside of NYS PTA.