Willingness To Serve Form For Executive Board and Officer Positions 2011-2012

STATEN ISLAND FEDERATION OF PARENT-TEACHER ASSOCIATIONS

EXECTIVE BOARD AND OFFICER WILLINGNESS TO SERVE FORM - 2011

If you are interested in being an officer OR executive board member for Federation during the 2011-2012 school year, please fill out this from and return it to Federation’s Nominating Committee at the March, April or May Delegate Assembly.

NAME:____________________________PHONE:_______________________

ADDRESS: ____________________________EMAIL:____________________

School(s) your child(ren) will attend next year:____________________________

Are you currently a Delegate or an Alternate? _______If Yes which school?_____

PTA EXPERIENCE

        School                              Position/s                                                                         Year/s

FEDERATION EXPERIENCE

School                              Position/s                                                                                Year/s

  (If you need additional space to describe your PTA/Federation experience, please feel free to continue on back of this page.)

SKILLS:  Bookkeeping _______ Typing ______ Computer _____Other __________

Do you work? __________ Full or Part Time  _______________________________

Which Officer* position would you consider accepting?_________________________

*For duties, refer to Art XII, Sec 1-5 of By-Laws.  Note: to be eligible for nomination to an officer position, a candidate must be a delegate, alternate or delegate-at-large and must have attended three (3) assemblies prior to the April Assembly.  Registrar will indicate below how many assemblies candidate has attended.

Which Executive Board position would like to serve on?______________________________________

For duties and procedures to serve on the Federation Executive Board, see Article XVI and XVII of By-Laws.

Delegate/Alternate Signature___________________________________________________________

To Be Filled Out By Registrar: Number of Assembly meetings attended prior to March______________

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DELEGATE / ALTERNATE FORM

School year      2011-2012                              

School Information

School                                                  Address                                                           

Zip code                                               Telephone                                                        

Principal                                               FAX #                                                             

Please list information for the following: three (3) delegates and one (1) alternate

to attend the S.I. Federation of P.T.A.s Delegate Meetings.

Delegates:

1. Name                                               ________           Title if any                                       

    Address                                            _______            Email                                                 

    Zip code                                                                     Telephone                                          

 2. Name                                              ______                          Title if any   ______             

    Address                                                        __           Email ________                               

    Zip code                                                                     Telephone                                          

3. Name                                                                         Title if any    ________                   

    Address                                                                       Email                                                

    Zip code                                                                      Telephone                                         

Alternates:

1. Name                                                                         Title if any                 _______         

    Address                                                                      Email_                                               

    Zip code                                                                     Telephone                                          

Please keep original and send a copy to S.I. Federation of PTAs Corresponding Secretary

Claudia Tedeschi Sheiman 122 Quinlan Avenue, Staten Island , NY 10314 or

Email at Claudiatedshe@aol.com

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New Relay Form

Please cut and paste the below acceptance letter into another e-mail so that you may continue to receive communication e-mails from SIFPTA.

E-mail to SIFPTA@gmail.com

Acceptance Letter

____________________________________________________________

I am in receipt of the Delegate communication relay letter and wish to be put on the SIFPTA Relay communication list. I can be emailed at:

Name:

E-mails address:

School affiliation:  

Position you hold: