Pta District - Annual Historian Report Form - Exhibit D9
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1Exhibit D9
duplicate of SR exhibit
2327 L Street, Sacramento, CA 95816-5014
916.440.1985 • FAX 916.440.1986 • •
PTA DISTRICT – ANNUAL HISTORIAN REPORT FORM
Reporting Period – July 1 to June 30, _______
Instructions:
Complete this form and file it in your Historian’s procedure book.
Why do PTAs submit reports?
Make 2 copies of your completed form:
California State PTA requires filing
•
Give 1 copy to your district secretary to file with the minutes.
of this report as stated in PTA
•
Send 1 copy to California State PTA Historian by June 1.
bylaws. Information on volunteer
hours is used for audits, advocacy
Tips – Reporting Volunteer Hours:
and grant applications.
Total your district, councils and units volunteer hours projected to June 30
Remember to include time spent by your members involved in:
•
PTA activities benefiting children.
•
Unit, council, district, state and National PTA programs, projects and training.
•
PTA-related meetings as well as travel, phone, email and paperwork time.
DISTRICT INFORMATION
(Please Print)
District PTA Name: ____________________________________________________________________________
Number of Units in District: ________________________
Units Reporting ______________(________%)
Number of Councils in District: ________________________
Councils Reporting____________(________%)
Report Completed by:
o Historian
o President
o Other
Name: ______________________________________________________________________________________
Street Address:
______________________________________________________________________________
City/Zip: ____________________________________________________________________________________
Phone #: __________________________ Email:
__________________________________________________
President’s Name: ____________________________________________________________________________
President’s Signature: __________________________________________________________________________
D
: __________________________
T
V
H
R
=
______________________
ATE
OTAL
OLUNTEER
OURS
EPORTED
D
= ____________________
C
= ____________________
U
= ____________________
ISTRICT
OUNCIL
NITS
G
T
– V
H
R
=
____________________________
RAND
OTAL
OLUNTEER
OURS
EPORTED
03/2012
California State PTA Toolkit – 2013
297
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