PTA Grant Request
Requested By:
Name: *
First and Last
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Grade: *
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Subject (if applicable)
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Email Address *
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Sponsored By (If Submitted by Non-Staff or Non-Faculty):
Name:
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Grade:
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Subject (if applicable)
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Email Address:
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Description:
Description of Project: *
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Amount Requested: *
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Date Needed: *
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Breakdown of cost: *
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Who benefits? *
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Is this a reimbursement or request for future purchase? *
Required
Recurrent Payments? *
Payment Method: *
Does this request fulfill a budgeted line item? *
If Yes, which one?
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Additional Info:
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