Political Action Award Nomination

Political Action Nomination Form

Nominator's Information

Nominator's First Name (required)

Nominator's Last Name (required)

Nominator's School Site (required)
Not A TALB MemberAddams ElementaryAlvarado ElementaryAnaheim Head StartArtesia Head StartAtlantic Heas StartAvalon SchoolBancroft Middle SchoolBarton CDCBarton ElementaryBethune Head StartBirney ElementaryBirney Head StartBixby ElementaryBryant ElementryBuffum Head StartBuffum Pre-K TLCBurbank CDCBurbank ElementaryBurcham CDCBurcham ElementaryBurnett Head StartBurroughs Head StartBurroughs ElementaryButlerCAMS High SchoolCabrillo High SchoolCarmelitos HSCarver CDCCarver ElementaryCedar Head StartCentral CDCCesar Chavez Head StartCesar Chavez ElementaryCleveland ElementaryCoronado Head StartCubberley ElementaryDooley CDCDooley ElementaryEPHS High SchoolEdison CDCEdison ElementaryEdison Head StartEight Street Head StartElm Street Head StartEmerson ElementaryFranklin Classical Middle SchoolFremont ElementaryGant ElementaryGarfield CDCGarfield ElementaryGarfield Head StartGaviota Head StartGompers ElementaryGrant CDCGrant ElementaryHamilton Middle SchoolHarte ElementaryHarte Head StartHenry ElementaryHenry Head StartHerrera ElementaryHolmes CDCHolmes ElementaryHoover Middle SchoolHudson CDCHudson ElementaryHughes Middle SchoolInternational Head StartJefferson AcademyJordan High SchoolKeller Middle SchoolKettering CDCKettering ElementaryKing HSLB Adult School/Beach High SchoolLafayette ElementaryLakewood High SchoolHerrera Head StartLincoln CDCLincoln ElementaryLindbergh Middle SchoolLindsey Head StartLindsey Middle SchoolLog Beach City College Head StartLong Beach BLVD Head StartLongfellow ElementaryLos Cerritos ElementaryLowell ElementaryMacArthur ElementaryMacArthur Head StartMadison ElementaryMann CDCMann ElementaryMarshall Middle SchoolMcBride High SchoolMcKinley CDCMcKinley ElementaryMillikan High SchoolMuir CDCMuir ElementaryNaples ElementaryNelson Middle SchoolNewcomp Academy k-8Oropeza ElementaryPacific Head StartPine Head StartPlymouth Head StartPoly High SchoolPowell Academy K-8Powell CDCPrisk ElementaryTeachers Resources CenterReid CDCReid High SchoolRenaissance High SchoolRiley CDCRiley ElementaryRobinsonRobinson Head StartRogers Middle SchoolRoosevelt ElementaryRoosevelt Head StartSato AcademySignal Hill ElementarySignal Hill Head StartSmith ElementarySmith Head StaratStanford Middle SchoolStarr King ElementaryStephens Middle SchoolStevenson CDCStevenson ElementaryTincher CDCTincher ElementaryTucker Administrative OfficesTwain CDCTwain ElementaryTwelfth Street Head StartWashington Head StartWashington Middle SchoolWebster CDCWebster ElementaryWebster Head StartWest CDCWhittier CDCWhittier ElementaryWhittier Head StartWillard CDCWillard ElementaryWilson High School

Nominator's Contact Email Address (required)

Nominator's Contact Phone (required)

Please include area code!

Nominee's Information
Nominee's First Name (required)

Nominee's Last Name (required)

Nominee's School Site (required)
Not A TALB MemberAddams ElementaryAlvarado ElementaryAnaheim Head StartArtesia Head StartAtlantic Heas StartAvalon SchoolBancroft Middle SchoolBarton CDCBarton ElementaryBirney ElementaryBirney Head StartBixby ElementaryBryant ElementryBuffum Head StartBuffum Pre-K TLCBurbank CDCBurbank ElementaryBurcham CDCBurcham ElementaryBurnett Head StartBurroughs Head StartBurroughs ElementaryButlerCAMS High SchoolCabrillo High SchoolCarmelitos HSCarver CDCCarver ElementaryCedar Head StartCentral CDCCesar Chavez Head StartCesar Chavez ElementaryCleveland ElementaryCoronado Head StartCubberley ElementaryDooley CDCDooley ElementaryEPHS High SchoolEdison CDCEdison ElementaryEdison Head StartEight Street Head StartElm Street Head StartEmerson ElementaryFranklin Classical Middle SchoolFremont ElementaryGant ElementaryGarfield CDCGarfield ElementaryGarfield Head StartGaviota Head StartGompers ElementaryGrant CDCGrant ElementaryHamilton Middle SchoolHarte ElementaryHarte Head StartHenry ElementaryHenry Head StartHerrera ElementaryHolmes CDCHolmes ElementaryHoover Middle SchoolHudson CDCHudson ElementaryHughes Middle SchoolInternational Head StartJefferson AcademyJordan High SchoolKeller Middle SchoolKettering CDCKettering ElementaryKing HSLB Adult School/Beach High SchoolLafayette ElementaryLakewood High SchoolHerrera Head StartLincoln CDCLincoln ElementaryLindbergh Middle SchoolLindsey Head StartLindsey Middle SchoolLog Beach City College Head StartLong Beach BLVD Head StartLongfellow ElementaryLos Cerritos ElementaryLowell ElementaryMacArthur ElementaryMacArthur Head StartMadison ElementaryMann CDCMann ElementaryMarshall Middle SchoolMcBride High SchoolMcKinley CDCMcKinley ElementaryMillikan High SchoolMuir CDCMuir ElementaryNaples ElementaryNelson Middle SchoolNewcomp Academy k-8Oropeza ElementaryPacific Head StartPine Head StartPlymouth Head StartPoly High SchoolPowell Academy K-8Powell CDCPrisk ElementaryTeachers Resources CenterReid CDCReid High SchoolRenaissance High SchoolRiley CDCRiley ElementaryRobinsonRobinson Head StartRogers Middle SchoolRoosevelt ElementaryRoosevelt Head StartSato AcademySignal Hill ElementarySignal Hill Head StartSmith ElementarySmith Head StaratStanford Middle SchoolStarr King ElementaryStephens Middle SchoolStevenson CDCStevenson ElementaryTincher CDCTincher ElementaryTucker Administrative OfficesTwain CDCTwain ElementaryTwelfth Street Head StartWashington Head StartWashington Middle SchoolWebster CDCWebster ElementaryWebster Head StartWest CDCWhittier CDCWhittier ElementaryWhittier Head StartWillard CDCWillard ElementaryWilson High School

Nominee's Contact Email Address (required)

Nominee's Contact Phone (required)

Please include area code!

Statement of Support

Please describe why this nominee should be recognized with the Political Action Award. You may also include support material such as testimonials, news, publications, web links, achievements and recognitions, or any other type of support evidence. If you wish, you may send photos to awards@talb.org