SPTA Advocacy Award Application Form
Application portal open March 1 through April 1
SPTA Name
*
SPTA Primary Contact (ED/CEO) Name
*
First Name
Last Name
Contact Phone Number
*
-
Area Code
Phone Number
Contact Email
*
SPTA Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Number of Full Dues Paying Members
*
Please exclude Lifetime Members, Associates, etc.
Application Letter Upload
*
Upload PDF
Please describe your qualifying accomplishments in a two-page (maximum) PDF document.
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