Y Street Grant Application

Y Street is the Virginia Foundation for Healthy Youth’s award-winning volunteer initiative for high school students. Since 2004, more than 8,000 Virginia teens have been trained to promote healthy, tobacco-free lifestyles.

Each year, Y Street partners with high school clubs across Virginia. Once a club is accepted into the Y Street Grant Program, Y Street recruits and trains students to work on Y Street’s campaigns promoting a healthier Virginia. The program is open to all students at that school. By participating in the Y Street program, your club or school can earn up to $2,000.

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* 1. Name

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* 2. Name of Club/Organization

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* 3. School

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* 4. School address

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* 5. School zip

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* 6. School city

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* 7. School state

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* 8. Email address

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* 9. What is the best phone number to contact you?

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* 10. This is my:

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* 11. Briefly describe your club/organization, including its mission and typical activities.

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* 12. How often do members of your club/organization meet in person?

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* 13. How many youth are actively involved in your club/organization at your school?

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* 14. How many years have you been the Advisor for this club/organization?

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* 15. Which of these aspects of Y Street would most effectively motivate youth at your school to stay active/involved throughout the year?(check all that apply)

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* 16. Describe a highlight of your club/organization’s accomplishments in the last school year. (3-5 sentences)

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* 17. What is your club/organization’s experience with planning and hosting events? Are there any large events your club/organization does annually? (2-3 sentences)

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* 18. If accepted, the program would be open for any student at your school to participate. How would you promote this opportunity in your school? What other clubs/organizations could you work with to help with recruitment? (2-3 sentences)

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* 19. Why do you believe your club/organization should be part of the Y Street Grant Program? (3-5 sentences)

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* 20. How did you hear about the Y Street Grant Opportunity? (check all that apply)

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