General Information	
School District		County		
No. of Faculty/Staff		No. of Students		
Primary Point of Contact	Secondary Point of Contact	
Name		Name		
Title		Title		
Mailing Address
		Mailing Address		
City		City		
State, ZIP		State, ZIP		
Phone		Phone		
e-mail		e-mail		
Recognition Guidelines	
Guideline 1:  All schools within the school district are recognized as StormReady Supporters	All schools within the district must be recognized as StormReady Supporters.  Individual schools within the school district must maintain their status as StormReady Supporter Schools (renew every 3 years) for the parent school district to maintain its status as a StormReady Supporter School District. 	Completed         Yes:      No: 	
Please list the schools in the school district, the date that the school was recognized as a StormReadyTM Supporter and a point of contact at each school. 	
Schools	Date of StormReady Supporter Recogntion	School POC (name and contact number)	

			

			

			
			
Schools	Date of StormReady Supporter Recogntion	School POC (name and contact number)	

			

			
			
Verification Team General Notes:	

	Date:	Initials:	

Signature of Applying Official	
Application Submitted by: (print name):	
School:	Title:	
Signature:	Date:	
NWS Personnel Receiving Application (print name):	
Date Received:	
Note: Please do not write in shaded areas.