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.
Email address *
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. *
Required
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): *
Required
EMAIL THE CERTIFICATE(S) TO:
MAIL THE CERTIFICATE(S) TO:
Submit
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