"United We Serve" Project Submission Form

Advanced Search

Spanish Find Your PTA RSS

United We Serve Project Submission Form
In support of President Obama’s *United We Serve* initiative Please take a few moments to share your *Call to Service* stories of success with National PTA. Your feedback will be shared with the President and First Lady as part of their *United We Serve* effort to encourage more individuals to volunteer in their communities. * Indicates a required field. Questions?: Contact 1-800-307-4PTA (4782) Please complete all required fields.

* Project Title

School

City	State

* Start Date	* End Date

* Ongoing?

* 1. What was the total number of participants who helped plan and implement your project?

* 2. How many total volunteer hours were contributed to the planning and execution of the project?

* 3. Please select topics that describe your project from the list below or add new topics in the spaces provided.	Education Health Support for Military Families Other (please specify)

Project Description
* Give a brief description (2-3 sentences) regarding your project. Include an overview, what activities were involved, partnerships that were created, what was accomplished, and how the project was connected to the mission of PTA.	Characters Remaining

* Provide a brief description of the impact that your project had on your community. Describe your successes (e.g. 50 adults and 15 students distributed 300 books to low-income students in Washington, D.C.).	Characters Remaining

* The total number of youth and adults served:
If applicable:
The total number of books distributed:

The total number of library cards applied for:

The total number of children read to:

The total number of individuals provided with health-related information or services:

Contact Information
* First name	* Last name

PTA Unit ID	PTA Position (if any)

* Address	* City

* State	* ZIP	Plus-4

* Daytime phone	* Phone Type

* E-mail

Please Note: The above information is for contact purposes. By submitting this *United We Serve* Project Submission form, I attest that the information provided is accurate and correct. Please click "I Agree" to acknowledge you have read the statement above and agree to the terms defined.

	* I Agree

United We Serve Project Submission Form

Application deadline: 5:00 p.m. EDT, Friday, September 30, 2009