2024-26 PTA Council Rep

2024-26 PTA Council Representative Nomination Form

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Instructions
This form must completed and RECEIVED by the Chapter Office by March 15, 2024 at 5:00 p.m. There will be no exceptions to this deadline. Qualifications: Only PTA members in good standing may serve as the PTA Council Representative or Alternate Representative.
Full Name of Nominee *
Full Mailing Address *
Home phone *		Work phone
Email *
The above individual is nominated for *	PTA Council Representative Alternate Representative
Submitted By: *
If this is a self-nomination, please select 'yes' below showing your consent *	Yes This is not self nomination
Membership Number (of individual being nominated) *
Beginning Date of Membership in Chapter (of individual being nominated) *

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