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2024 Free State PTA

Award Nominations Form

Date

Submitter First name*

Submitter Last name*

Submitter Email*

Please indicate the award you are applying for:

President's Award

Exemplary Educator

Excellence in Advocacy Award

Volunteer of the Year

Student Achievement Award

Innovative Program Award

Diversity and Inclusion Unit Award

Healthy Minds Unit Award

Nominee Name

Nominee Email

Nominee Address

Nominee City, State, Zip

Nominee Number*

Nominee Local Unit or Council PTA Name

A brief description (300-500 words) of the nominee’s contributions and why they deserve to be recognized

Please upload any supporting documents or testimonials

©2025 by Free State PTA

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