Enroll in National PTA School of Excellence
* denotes required fields

Please correct the below errors and resubmit:

I am a (select one):
PTA Officer
PTA Board Member
PTA Volunteer with support from PTA Board and School Partner
School Administrator
Educator
Other (Please specify)

PTA Information

Official PTA/PTSA Name: *


**Please enter your 8-digit National PTA ID #. If your ID number is not 8 digits, please enter "0s" for empty spaces at the front of your ID number. For example: 45897 would be entered as 00045897. If you do not know your National PTA ID#, please contact us at 1-800-307-4782.


PTA City: *


State: *
Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Islands APO

Zip: *


Program Contact Information

First Name: *


Last Name: *


Title (PTA President, PTA Board Member, PTA Program Chair, Other): *


Address 1: *


Address 2:


City: *


State: *
Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Islands APO

Zip: *


Phone: *


Email Address: *


School Information

School Name: *


Principal's First Name: *


Principal's Last Name: *


Number of Students Enrolled: *


School Information
K - 8
Elementary
Middle
High

Title I School? *
Yes
No

Percent of students in the school who receive free/reduced priced lunch - your principal will know this information:
%

Please provide the student demographic breakdown in your school - your principal will know this information:

Hispanic/Latino:	%
Black/African American:	%
American Indian/Alaska Native:	%
Asian:	%
White/Caucasian:	%
Other:	%

Please provide the names and email addresses of up to two other individuals you would like to receive communications about the program:
First Name:

Last Name:

Email Address:



First Name:

Last Name:

Email Address:


How did you hear about the program? (select one):
National PTA
State PTA
Region/District/Council PTA
Local PTA
Media
Educator
Other (Please specify)

Enroll Now!