Youth 4 Action Grant Application Spring 2018 Question Title * 1. Please enter your school/youth group's contact information. Name of school or youth group: * Address 1: * Address 2: City/Town: * Province: * Postal Code: * Email Address: Phone Number: Question Title * 2. Please fill out the name and email addresses of the Youth Leaders: Youth Leader 1: Name Youth Leader 1: Email Youth Leader 2: Name Youth Leader 2: Email Youth Leader 3: Name Youth Leader 3: Email Youth Leader 4: Name Youth Leader 4: Email Youth Leader 5: Name Youth Leader 5: Email Question Title * 3. You must get approval from an Adult Ally. Your Adult Ally can be a teacher, principle, professor, guidance counselor, parent council member, youth worker, Public Health Nurse, Canadian Cancer Society staff or volunteer, etc. Please fill out the name and contact information for your Adult Ally: Name: Email Address: * Phone Number: * Question Title * 4. Which one of the three Youth 4 Action grant streams are you applying for? Big Tobacco Lies Get Active Stay Active! Rethink Sugary Drinks Next