Florida PTA Leadership Convention Scholarship
Event Timing: July 12-15, 2018
Event Address: Innisbrook Resort, Palm Harbor, FL
Contact us at vpleadership@hccptaptsa.org

Scholarships are available for Title I PTA's. Each PTA may apply for two people; a third should be named as an alternate, in the event one of the awarded recipients cannot attend. Scholarship funds are available to cover the cost of convention registration, accommodations are not included. Once awarded, you will be registered by County Council directly. We will provide information and suggestions regarding accommodations. Applications must be completed no later than April 30, 2018 at 11:59 pm.

Name of PTA *
Your answer
Estimated PTA income this year *
Your answer
Applicant 1 Name *
Your answer
Applicant 1 PTA Position *
Your answer
Applicant 1 Email *
Your answer
Applicant 1 Address *
Your answer
Applicant 1 Phone *
Your answer
Applicant 1 Emergency Contact Name and Phone *
Your answer
Applicant 2 Name
Your answer
Applicant 2 PTA Position
Your answer
Applicant 2 Email
Your answer
Applicant 2 Address
Your answer
Applicant 2 Phone
Your answer
Applicant 2 Emergency Contact Name and Phone
Your answer
Alternate Name
Your answer
Alternate PTA Position
Your answer
Alternate Email
Your answer
Alternate Address
Your answer
Alternate Phone
Your answer
Alternate Emergency Contact Name and Phone
Your answer
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