INDIANA PTA
everychild.onevoice.
Membership Packet
2015-2016
INDIANA PTA
everychild.onevoice
6901 E 10th St. Ste E
Indianapolis, IN 46219
Phone: 317-357-5881
Web: Email:
2015 -2016 Membership Awards
Certificates will be awarded for:
1.100% Teacher/Principal Membership
To be awarded to units where every full time teacher in the school and the Principal(s) are members.
2.Maintaining Membership
To be awarded to units that have at least as many members this year as last year.
3.25% Increase
Unit membership increased 25% over previous year.
- Outstanding Membership Campaign participation
Submit a brief description (No more than 300 words) of this campaign to include how the campaign was marketed, membership increase experienced from the campaign, and how the Principal was engaged. Photos, newsletter articles, letters to parents, and supplemental materials may be included to portray the effectiveness of the campaign to include no more than four single-sided pages total. Please label the top of the attached materials “Outstanding Membership Campaign” along with local unit name. Membership increase will be verified by number of members already submitted to Indiana PTA as of awards deadline.
- 100 Club – Having 100-199 members by the March 15 dues deadline
200 Club – Having 200-299 members by the March 15 dues deadline
300 Club – Having 300-399 members by the March 15 dues deadline
400 Club – Having 400-499 members by the March 15 dues deadline
Plaques will be awarded for:
1.50% Increase
Unit membership increased 50% over previous year.
2.Outstanding Membership Achievement Award (one (1) unit per region)
This is for the highest percentage of increase in members from 2014-2015 numbers. Unit must have
had at least 50 members the previous year.
- Outstanding Membership Campaign
Outstanding Membership Campaign will be awarded to one local unit in Indiana displaying the best membership Campaign. (See criteria above)
4.100% Matching Membership
*Example – If, at the time of this report, you have 400 students enrolled and you have 400 PTA members, you have earned the 100% Matching Membership Award.
5. 500 Club - Having 500-599 members by the March 15 dues deadline
600 Club - Having 600-699 members by the March 15 dues deadline
700 Club - Having 700-799 members by the March 15 dues deadline
800 Club - Having 800-899 members by the March 15 dues deadline
900 Club - Having 900-999 members by the March 15 dues deadline
1,000 Club - Having 1,000 + members by the March 15 dues deadline
IMPORTANT NOTE
IN ORDER TO QUALIFY FOR ANY MEMBERSHIP AWARD, A UNIT MUST MEET THE NOVEMBER 15 AND MARCH 15 DUES AND REMITTANCE FORM DEADLINE.
MEMBERSHIP DUES REMITTANCE FORM #1
ATTENTION – TREASURER AND MEMBERSHIP CHAIR
POSTMARKED OR HAND DELIVERED BY NOVEMBER 15, 2015
(All dues must be postmarked or hand delivered on time.)
The November 15 deadline must be met in order to qualify for any award.
MAKE YOUR CHECK PAYABLE TO INDIANA PTA AND ATTACH THIS FORM.
MAIL TO:Indiana PTA
6901 E 10th St. Ste E
Indianapolis, IN 46219
ATTACH COMPLETED:Membership Roster
COMPUTE PAYMENT:In accordance with Indiana PTA Bylaws
$3.00 (State Portion)
+$2.25 (National Portion)
$5.25 PER MEMBER (exact number of members shown on
membership report list)
NUMBER OF MEMBERS ______X $5.25
AMOUNT OF CHECK ENCLOSED: $______
SCHOOL’S OFFICAL ENROLLMENT______
“FRIEND OF PTA” SPONSORSHIP ($25)$______
_____100% Teacher/Principal Membership
To be awarded to units where every full time teacher in the school and the Principal(s) are members.
PTA/PTSA UNITCOUNCIL (if any)
CITYCOUNTYREGION
TREASURER’S NAMEADDRESSZIP CODEPHONE
------Do Not Write Below This Line------
Date______# of Members Reported______
Check #______Amount______
National #______National Dues______State Dues______
MEMBERSHIP DUES REMITTANCE FORM #2
ATTENTION – TREASURER AND MEMBERSHIP CHAIR
POSTMARKED OR HAND DELIVERED BY MARCH 15, 2016
(All dues must be postmarked or hand delivered on time.)
The March 15 deadlinemust be met to qualify for any membership awards.
MAKE YOUR CHECK PAYABLE TO INDIANA PTA AND ATTACH THIS FORM.
MAIL TO:Indiana PTA
6901 E 10th St. Ste E
Indianapolis, IN 46219
ATTACH COMPLETED:Additional Membership Roster (Please show just ADDITIONAL MEMBERS since last report)
COMPUTE PAYMENT:In accordance with Indiana PTA Bylaws
$3.00(State Portion)
+$2.25 (National Portion)
$5.25 PER MEMBER (exact
number of members shown on
membership report list)
NUMBER OF ADDITIONAL MEMBERS ______X $5.25
AMOUNT OF CHECK ENCLOSED: $______
ENCLOSE FOUNDER’S DAY CONTRIBUTION$______
“FRIEND OF PTA” SPONSORSHIP ($25)$______
_____100% Teacher/Principal Membership
To be awarded to units where every full time teacher in the school and the Principal(s) are members.
PTA/PTSA UNITCOUNCIL (if any)
CITYCOUNTYREGION
TREASURER’S NAMEADDRESSZIP CODEPHONE
------Do Not Write Below This Line------
Date______# of Members Reported______
Check #______Amount______
National #______National Dues______State Dues______