PHACTT Leadership Workshops Interest Form

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Hi Volunteers,

If you previously submitted a PHACTT grant or if you didn't and are still interested in participating in a PHACTT project, please consider registering for this 2 part series!

Mrs. Karp and Gretchen Levitz will be on hand at the library to mentor you and teach you exactly how to fill out your grant paperwork. You can also get started on your campaigns and complete most of the work in-person and be able to ask any questions in real time.

This will be a 2-week event. Please commit to both dates.

Tuesday, April 23 5-7:30 NWL Teen Room

Tuesday, April 30 5-7:30 NWL Teen Room

Thanks! And if you have any questions, feel free to contact kkarp@westhartfordCT.gov or glevitz@westhartfordCT.gov.

Name *

Grade *

Option 1

School *

Did you already submit a PHACTT grant that was approved?

Yes

Not Sure

Other:

Clear selection

If YES, what was the topic of your grant?

If NO/NOT SURE, would you be interested in completing a grant on one of the following topics? Choose all that apply.

Anxiety

Marijuana / THC

Stress

Suicide Prevention

The Underground (Teen Programming)

Vaping

Are you free both dates: Tuesday April 23 and Tuesday April 30 from 5-7:30PM? *

Yes

Adult T-Shirt Size *

XXL

Other:

Thanks again and we can't wait to help you build your leadership and grant writing skills.

Submit

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