(10 points)

(20 points)

(20 points)

(40 points)

(20 points)

(20 points)

(20 points)

(20 points)

The ASBA Cactus Pin Award Application Recognition is given annually for service between July 1 and June 30. Points are awarded for each activity based on member application and certification.

Point Requirements

Gold Cactus Pin — 150 or more points

Silver Cactus Pin — 75 Points

Certificate of Achievement — 60 Points

Board members who wish to qualify for Cactus Pin Awards must complete this form and return it to ASBA by Monday, July 15 to:

Karen Loftus, Director of Leadership Development Arizona School Boards Association 2100 N. Central Ave., Ste. 200 Phoenix, AZ 85004

Email: kloftus@azsba.org Fax: 602.254.1177

Activity Date Points

Total Points _________

Name _____________________________________________

District / Board ______________________________________

Signature __________________________________________

Date _____________________________________________