Pleasanton PTA Council Community Grant Application - 2022/23 Term
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Requestor's First and Last Name *
Email
Contact Phone Number
Date
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*
If non-unit is applying for community grant, select "OTHER" and enter name in next section
Other Applicants 
All non-units, please add your organization type here
Are you a current PTA / PTSA / PFC member? *
(Membership not required for grant award)
Specify your PTA / PTSA / PFC function or position within your PTA/PTSA / PFC
Clear selection
If you answered "other" please briefly explain 
Please give a brief summary of the program, project or event for which this grant will be used for
Date of the Event / Program or Project *
(If multiple dates or no exact date determined, please list the closest possible period for when the event would potential occur)
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DD
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YYYY
Requested Grant Amount  *
(Max total grant may not exceed $650)
Other funding applied for or received for this program, project or event
(if applicable)
Who will benefit from this grant? 
Clear selection
If you answered "other" please briefly explain 
How many potential individuals will be impacted from this project, program or event?
Is there anything else you would like to add for consideration?
Thank you for your grant submission!  
Submit
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