Honorary Service Award Nomination Form Lunada Bay Elementary School 2017-2018
The Honorary Service Award Selection Committee request that members of the Lunada Bay Elementary School PTA assist in the selection of deserving recipients for recognition at HSA Luncheon on Thursday, May 3, 2018. Nominated individuals or organizations that have made significant contributions to the wellbeing of children, youth or families in this school and/or community can be considered for this award. Current members, officers and teachers may also be considered for thisaward.
Honorary Service Award Program
Service Award Category:
Very Special Person(VSA)-‐recognize an individual or organization for their
service to the PTA
Honorary Service Award(HSA)-‐recognize an individual or organization for
outstanding service to children and youth in your community, going above and beyond what is asked of them
ContinuingService Award(CSA)-‐recognize an individual or organization for ongoing
or long-‐time service to children and youth, providing support year after year
Golden Oak Service Award-‐recognize an individual or organization that has
(California’shighesthonor)made significant contributions to the welfareof
children and youth in a school or community, the most prestigious of the HSA
OutstandingTeacherAward (OTA)-‐ recognize a teacher for outstanding service to
children and youth through PTA, school or community
OutstandingAdministratorAward-‐recognize an administrator for outstandingservice
(OAA)to children and youth through PTA, school or the community
Please check the category selected for your nominated person.
Name of individual or organizationnominated:
Telephone:() E-‐mail:
ContactPerson:
Reason for nomination:
Name of Person submitting thenomination:
Telephone:() E-‐mail:
All nominations will be considered. The HSA Selection Committee will select the recipient.
Nominations DUE DATE for presentation: Friday, March 23, 2018
Please return completed forms to the HSA Box in the office or email to Monica Foran at