State Advocacy Grant Application

By submitting this application you are confirming that you meet and/or are willing to meet the state criteria for the PCA State Advocacy Grant. Once an application is received, the PCA Legislative Committee will review the application and make a decision, looking at the total state advocacy strategy across the country, and as it aligns with available funds, resources, and overall PCA engagement.

Association Name(Required)

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

For which state are you requesting funds?(Required)

Amount you are requesting(Required)

Why are you requesting funds?(Required)

Please provide a detailed explanation of what the funds will be used for and the express goal/outcome you are looking to achieve during the next state legislative session.