Enroll in National PTA School of Excellence Program
* denotes required fields


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 check our PTA Local Unit Lookup tool or contact us at 1-800-307-4782.


PTA City: *


State: *


Zip: *


Program Contact Information

First Name: *


Last Name: *


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


Address 1 (where a banner would be sent if designated): *


Address 2:


City: *


State: *


Zip: *


Phone: *


Email Address: *


School Information

School Name: *


Principal's First Name: *


Principal's Last Name: *


Principal's Email Address: *


Number of Students Enrolled: *


School Information
K - 8
Elementary
Middle
High
Other

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 estimated student ethnic breakdown in your school - your principal will know this information.
(Responses must equal 100%):
Hispanic/Latinx: %
Black/African American: %
Native American/Alaska Native: %
Asian/Pacific Islander: %
White/Caucasian: %
Bi-racial or Multi-racial: %
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)

Why did you choose to enroll in the School of Excellence program?


Enroll Now!