PTA GRANT APPLICATION FOR PUBLICATIONS

For Grant Committee Use Only

Committee Member: Grant number:

Date submitted:______

Total amount of Grant Request: $ ______

Club Information
Name of organization
Name of student contact
Student phone number
Student email address
Name of faculty advisor
Faculty advisor department
Faculty advisor phone number
Faculty advisor email address
Editorial Board (add more lines if necessary)
Name / Position / Grade
Number of participants by grade
12th / 11th / 10th / 9th / 8th / 7th

Briefly tell us the purpose/nature of your student publication:

Approximately how many years has your publication existed? ______

How often does your publication meet?______

How many members attend meetings, on average?______

If possible, please enclose/attach an issue of your publication.

Revenue and Expenses previous academic year:

How much total money (spring and fall) did you request from the PTA last year? $______

How much total money (spring and fall) did you receive from the PTA last year? $______

How much of your PTA money remained unused at the end of last academic year? $______

If you didn’t spend the majority of the allotted amount, please tell us why, and what steps you plan on taking to avoid this situation in the coming year

FINANCIAL STATEMENT: 2015-2016 ACADEMIC YEAR

(ACTUAL)

HOW MONEY WAS SPENT / SOURCES OF MONEY
Printing
(Total Spent) / Beginning Cash Balance (September 2015) from sources other than PTA funds
Number of Issues
Cost/Copy: / Advertising Revenue
Average Cost/Page / Publication Sales
Number of B/W Pages / Fund Raising
Number of Color Pages
Total number of Pages / Other*
Supplies / Subtotal
Total Spent: / PTA Grant Received (2015-2016)
Total Budget:

FINANCIAL STATEMENT: 2016-2017 ACADEMIC YEAR

(PROJECTED)

HOW MONEY WILL BE SPENT / SOURCES OF MONEY
Printing
(Total Spent) / Beginning Cash Balance (September 2016)from sources other than PTA funds
Number of Issues
Cost/Copy: / Advertising Revenue
Average Cost/Page / Publication Sales
Number of B/W Pages / Fund Raising
Number of Color Pages
Total number of Pages / Other*
Subtotal
Supplies / PTA Grant Requested(2016-2017)
Total Projected Expenditure: / Total Budget:

Is there anything else the committee should know in order to evaluate this application? Use this space to elaborate on or clarify anything from above.

*Please give a specific explanation at the bottom.