MONTGOMERY COUNTY COUNCIL OF PTAs

MARYLAND LIFE MEMBERSHIP AWARD

GUIDELINES FOR NOMINATING INDIVIDUALS

 

The Awards and Honors Committee of MCCPTA will consider the following information when choosing recipients of the Maryland Life Membership Award presented by MCCPTA at its annual Presidents/Principals Dinner:

·         Nominees may be a parent, teacher, student, administrator, supporting staff or community member whose efforts are tied to the mission and objects of PTA

·         Nominees efforts should demonstrate cluster and countywide benefits to children and families

·         Individuals depth, breadth and length of service to PTA

The award winner will be a guest of MCCPTA at the Presidents/Principals Dinner. The nominator will be asked to speak about the nominee providing a description of their accomplishments and how they benefited the children and families of the MCCPTA.

 

Please return this form by April 21, 2006 to the MCCPTA office.

 

 

 

 MCCPTA NOMINATION FORM FOR THE

MARYLAND LIFE MEMBERSHIP AWARD

 

NOMINATION INFORMATION

 

Name of individual____________________________________________________________

 

Address_____________________________________________________________________

 

Phone (Home)_____________________________ (Work)_____________________________

 

PTA/PTSA (if individual belongs to one)___________________________________________

 

Description of services, including depth, breadth and length of service (no more then one page back and front, please).

 

 

 

 

 

 

 

 

NOMINATOR INFORMATION

 

Name of contact_______________________________________________________________

 

Address_____________________________________________________________________

 

Phone (Home)____________________________ (Work)______________________________

 

PTA/PTSA, belongs to_________________________________________________________

 

Please return this form by April 21, 2006 to the MCCPTA office.