Committee Chair & Specialist Nomination Form

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Committee Chair & Specialist
Georgia
Nomination Form
(submit by June 26, 2015)
Georgia PTA is seeking qualified candidates for Committee Chair, Sub-Committee Leader and Specialist positions to serve for a two year term
(July 2015-July 2017) and who are committed to advancing the PTA Mission and who respect the PTA Values. All interested candidates must be a
current member of Georgia PTA and agree to the terms on the second page of this form.
Send the completed Nomination Form to Lisa-Marie Haygood, Georgia PTA President-Elect no later than June 26, 2015.
Mail to: Lisa-Marie Haygood, 714 Billings Farm Lane, Canton, GA 30115 or send email to Lisa-Marie at .
Please provide the information as you would like it to appear on your business card if you are selected as a Committee Chair/Specialist/Sub-Committee Leader.
Name: ______________________________________________________E-mail address: _______________________________________________
Address: ___________________________________________________ City, State, Zip: ________________________________________________
Home Phone: ________________________________ Cell Phone: ________________________________ T-shirt size: _______________________
I wish to be considered for the following Georgia PTA positions:
If you are applying for more than one position, please rank the positions in order of preference. Descriptions of each position are
provided on page 3 of this document.
COMMITTEE CHAIRMAN (Voting Board Member for Georgia PTA.)
SUB-COMMITTEE LEADER (These positions are non-voting.)
____ Bylaws
____ Leadership Development
To work with the Diversity & Inclusion Chairperson:
____ Convention & Events
____ Legislation
____ Exceptional Children
____ Diversity & Inclusion
____ Membership
____ Hispanic/Latino
____ Education
____ Reflections
____ Male Involvement
____ Family Engagement
____ Youth Services
____ Special Needs Students
____ Health & Wellness
To work with the Education Chairperson:
____ Early Childhood Education
SPECIALIST (These positions are non-voting.)
____ Georgia DOE Liaison
____ Scholarship
____ Environmental Education
____ Student Representative
____ Resource Development
Describe your PTA experience (positions held at local, council, and district level):
Describe your additional qualifications to serve on the State Board of Directors (for example: other nonprofit experience, community positions,
work-related experience which supports your interest). Please attach a copy of your resume to this form.
What do you hope to accomplish by serving on the Georgia PTA Board of Directors?
Georgia PTA 2015-2017 Committee Chair & Specialist Nomination Form
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