Pa Pta Election Certification Form PDF Details

Are you a leader in your local Parent-Teacher Association (PTA)? Are you looking to strengthen the civic engagement within your community? The Pa Pta election certification form is an essential tool that serves as an important part of successful elections. This interactive document provides leaders with an opportunity to ensure fair, transparent, and fraudulent-free results while also streamlining complicated processes. To find out more about this critical resource for any PTA’s election process, keep on reading!

QuestionAnswer
Form NamePa Pta Election Certification Form
Form Length6 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 30 sec
Other namespta election certification, election pta certification, pta ballot template, ofea appropriate

Form Preview Example

Martine Guerrier

Chief Family Engagement Officer

OFEA PA/PTA Election Certification Form

Elections for all Parent Associations (PAs) and ParentTeacher Associations (PTAs) must

be certified by the Department of Education. This form must be completed and signed by the Principal or his/her designee (e.g., Assistant Principal). The school’s Parent Coordinator may not be the Principal’s designee. The original signed copy of this form must be maintained on file in the principal’s office. A copy of this form must be provided

to the PA or PTA. Copies of this form must also be forwarded to OFEA central engagement staff and the appropriate superintendent’s office.

School: ________________________________________ Borough/District: ____________________________

Name of Organization (e.g., PA or PTA of PS XYZ): ________________________________________________

Date of Nomination Meeting: ________________

Date of Election Meeting: ________________

Expedited Election? Yes No

 

Election Meeting Chair: ______________________________________________________________________

must be a parent who is not running for office

Quorum Required for PA/PTA: _____________________

# of Eligible Voters in Attendance: __________________

Elected PA/PTA Officers

Principal: please include all requested information for each incoming officer.

Office: President

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate Presidents’ Council.

home telephone:

 

email address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Office: Recording Secretary

 

Name:______________________________________________________________________________________

 

Address: ____________________________________ Borough: _________________________ Zip:_________

49 Chambers Street,

Home Telephone:______________________________ Business Phone: ______________________________

Rm 503

 

New York, NY 10007

E-mail: _____________________________________________________________________________________

OFEA@schools.nyc.gov

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

 

(212) 374-2323

#tel

appropriate Presidents’ Council.

home telephone:

(212) 374-0076

#fax

 

 

email address:

1

Office: Treasurer

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate Presidents’ Council.

home telephone:

email address:

Office: Co-President (if applicable):

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate Presidents’ Council.

home telephone:

email address:

Office: Co-President (if applicable):

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate Presidents’ Council.

home telephone:

email address:

Office: _________________________________________

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate Presidents’ Council.

home telephone:

email address:

2

Office: _________________________________________

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate Presidents’ Council.

home telephone:

email address:

Office: _________________________________________

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate Presidents’ Council.

home telephone:

email address:

Office: _________________________________________

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate Presidents’ Council.

home telephone:

email address:

Office: _________________________________________

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate Presidents’ Council.

home telephone:

email address:

3

District or Borough Presidents’ Council Representative:

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate Presidents’ Council.

home telephone:

email address:

District or Borough Presidents’ Council Alternate (PA/PTA’s voting member to the Presidents’ Council in the absence of the Representative):

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate Presidents’ Council.

home telephone:

email address:

Principal/Designee’s Name: _____________________________________________________________

Principal/Designee’s Signature: _________________________________________________________

Date Signed: _______________________________________________

4

School Leadership Team: Elected Parent Members:

Please use the section below to record the names and contact information for parent members elected

to the School Leadership Team

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate District Leadership Team. home telephone:

email address:

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate District Leadership Team. home telephone:

email address:

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate District Leadership Team. home telephone:

email address:

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate District Leadership Team. home telephone:

email address:

5

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate District Leadership Team. home telephone:

email address:

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate District Leadership Team. home telephone:

email address:

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate District Leadership Team. home telephone:

email address:

Name:______________________________________________________________________________________

Address: ____________________________________ Borough: _________________________ Zip:_________

Home Telephone:______________________________ Business Phone: ______________________________

E-mail: _____________________________________________________________________________________

By initialing the boxes, I authorize OFEA to release my home telephone number and email address to the

appropriate District Leadership Team. home telephone:

email address:

Principal/Designee’s Name: _____________________________________________________________

Principal/Designee’s Signature: _________________________________________________________

Date Signed: _______________________________________________

6

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