PPYC Mini Grant Application - The Project Prevent Youth Coalition has a limited number of mini-grants available to assist with transportation costs to and from the PPYC Annual Conference. Mini-grants will be awarded based on need and priority.

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* 1. Roughly how many students are you transporting to the PPYC Annual Conference on Friday, March 3rd?

1-10

11-50

51-100

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* 2. Of the students that are attending the conference, how many submitted an entry in the Big Pitch Film Festival?

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* 3. What is your first and last name?

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* 4. At what email address would you like to be contacted?

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* 5. In what ZIP code is your school or organization located? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 6. Does your organization, or school, receive funding from the Tobacco Prevention and Cessation Program at the Arkansas Department of Health?

Yes

No

Not sure

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* 7. Briefly describe your transportation needs.