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Name of school

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School address

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Student leader name(s):

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Student leader email(s):

Adult support (can be a principal or VP, teacher, guidance counselor, parent council member, School Health Nurse, etc.)

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Name

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Email address

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Phone

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Approximate number of students in graduating class

________________________________________________

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1. When will you implement the Tan-Free Grad campaign (start and end date)?
[100 word limit]

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2. What activities will you organize to educate your peers about the dangers of indoor tanning?
[300 word limit]

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3. How will you spend the grant money?
Item (please describe) and Budget ($)

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4. Do you have approval from your school administration (Principal, Vice Principal) to implement Tan-Free Grad this year?

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5. Have you read, and do you agree to the terms and conditions for the Tan-Free Grad Grants Program?

6. If your application is successful, how many of the following Tan-Free Grad resources would you like to receive?

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Student Leader t-shirts
Tip: Order one shirt per student leader to a maximum of 4 shirts)

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Other Resources

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7. If application is successful, please make the cheque payable to:

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