Roster of PTA Officers 2008-09

PLEASE COMPLETE AND SUBMIT THIS FORM IMMEDIATELY FOLLOWING YOUR ELECTIONS, even if some of your officers are serving a second term. The California State PTA will use this information to send you important summer mailers. 17th District PTA will use this information to update our District Directory, to be printed in August. The Seventeena, our district newsletter, will be mailed monthly free of charge to every Principal, President, and Treasurer.
Please note that our deadline for rosters is April 30th. However, please submit your roster to us even if the deadline has passed so that we can keep our records up-to-date!
If you do not want to submit online, a PDF form and a Microsoft Word form are available for download. If you’re in-council, you should send these directly to your council, who will forward them on to 17th District. Note that your council may have an earlier deadline for hard-copy forms in order for them to forward the forms on to us by our April 30th deadline.
NEW! All rosters submitted through this form will be automatically sent to your council president (if in-council) in addition to 17th District.
Have any comments/suggestions for this online roster? Send in your feedback!

Association Data

If your web browser supports it, you can hover over prompts that are underlined with your mouse to see additional information about how to find/provide the requested information. Please note that you should have a copy of your bylaws handy to fill out this first section.

Name of Association:
Street Address:
City:    Zip: 
California PTA unit #:
National PTA unit #:
Grades in School:
Organization Date:
Name of Council (if applicable):
Bylaws Form Revision Date:
Election meeting held:
Officers assume duties on:
Fiscal year ends on:

Required Officers per Article V Section 2

Every PTA/PTSA must have a President, Secretary & Treasurer.
Please indicate "Vacant" if position is to be filled at later date OR "N/A" if the position is not applicable (i.e. not listed as a position in your bylaws). If the position has ben filled, choose "Information Specified Below" and provide the information requested. Please provide home addresses to expedite receipt of date sensitive materials.

President  Vacant   Information Specified Below
Name:
Street Address:
City:    Zip: 
Home Phone:   Work Phone: 
Fax:   E-mail: 

Executive Vice President  N/A   Vacant   Information Specified Below
Name:
Street Address:
City:    Zip: 
Home Phone:   Work Phone: 
Fax:   E-mail: 

Treasurer  Vacant   Information Specified Below
Name:
Street Address:
City:    Zip: 
Home Phone:   Work Phone: 
Fax:   E-mail: 

Secretary  Vacant   Information Specified Below
Name:
Street Address:
City:    Zip: 
Home Phone:   Work Phone: 
Fax:   E-mail: 

Auditor  N/A   Vacant   Information Specified Below
Name:
Street Address:
City:    Zip: 
Home Phone:   Work Phone: 
Fax:   E-mail: 

Historian  N/A   Vacant   Information Specified Below
Name:
Street Address:
City:    Zip: 
Home Phone:   Work Phone: 
Fax:   E-mail: 

Parliamentarian  N/A   Vacant   Information Specified Below
Name:
Street Address:
City:    Zip: 
Home Phone:   Work Phone: 
Fax:   E-mail: 

Other Contacts

Principal  N/A   Vacant   Information Specified Below
Name:
Street Address:
City:    Zip: 
Home Phone:   Work Phone: 
Fax:   E-mail: 

Reflections Chair  N/A   Vacant   Information Specified Below
Name:
Street Address:
City:    Zip: 
Home Phone:   Work Phone: 
Fax:   E-mail: 

Please review all the information provided here before you submit to be sure it is correct. Clicking the Submit button will send all the information provided to the 17th District PTA; you will be given a chance on the next page to print this data for your records.
WARNING: Clicking "Reset Form" will clear all the data in this form and restore the form to its defaults. Do not click unless you want to reenter all of the data on this page.
   

Copyright © 2008 California Seventeenth District PTA. All rights reserved.
California State PTA | National PTA
Website Feedback