Thank for choosing to back the future of Texas students!

Donor Information

Name as it appears on card *

Daytime Telephone *

Email address *

Billing Address *

City *

Zip *

Credit/Debit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

CVV *

If an honorarium or memorial, please complete

Name of Individual

Is this a memorial or an honorarium?

Memorial

Honorarium

May Texas PTA send the individual or their family an acknowledgement to recognize your gift?

Yes

Mail to:

Address

City

Zip

Targeted Donation Options

Please indicate what restriction you would like to place on your donation, if any.

Unrestricted donation: Funds will be deposited into the Texas PTA General Fund and allocated at the discretion of the Texas PTA Board of Directors.

Disaster Relief Fund: In its desire to help Local PTAs and Councils provide assistance to persons who have suffered economic hardship due to illness, accidents or natural disaster, Texas PTA established the Texas PTA Emergency Relief Fund in 1995. This fund is used to provide emergency assistance grants for victims of hurricanes, floods, tornadoes, catastrophic illness and accidents. Financial aid is provided only to the truly needy and is consistent with the need. Aid is continued only as long as the need exists.

Emergency Relief Fund: Grant awards are based upon expenses incurred and on a combination of factors such as hospital bills and medicines, insurance availability, number of dependents and family income. In order for a family to be considered financially needy, their income level must fall within federal guidelines for total family income, which includes financial assistance such as AFDC, unemployment compensation, workers compensation or general assistance.

Scholarship Program: Funded by donations to the Texas Congress of Parents and Teachers Endowment Fund, the Texas PTA scholarship program for Texas teachers and administrators is tangible evidence of its desire to improve the quality of education for Texas students. Since 1964, Texas PTA has awarded more than $340,000 to recipients in the State of Texas. This financial aid has allowed recipients to enhance their professional skills through graduate work that otherwise may not have been financially possible. The guidelines and application information can be found in the Texas PTA Special Recognition/Honors and Awards Packet that is mailed in the Fall. You may also get complete details by downloading the PDF versions of the Teacher/Administrator Scholarship information and application here: http://www.txpta.org/members/forms/Teacher-AdmScholarship2.pdf.

Donor Name and Amount

Name of donor (if different from name on credit card)

Donation Amount *

Thank you for your donation!