Apply for an Anti-Racism Cyberviolence Prevention Grant Current Page 1 Page 2 Preview Prefill with your MyPEI Account What is MyPEI Account? Allow this form to use information already in your MyPEI account to fill in fields automatically. You can review and edit everything before submitting. Personal information on this form is collected under Section 31(c) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, c f-15.01 as it relates directly to and is necessary for determining eligibility. If you have any questions about this collection of personal information, you may call 902-368-6895 or email antiracisminfo@gov.pe.ca. Identification Which Anti-Racism Youth Cyberviolence Prevention Grant are you applying for? - Select -Youth and Individual Action (aged 14 years and over): Up to $2,500Community, Organization and Charities: Up to $5,000Community Impact (Major Projects): Up to $25,000 First Name Middle Initial Last Name Address 1 Address 2 City, Town, or Community Province Postal Code For example C1B 0X1 or 12345 Country Telephone Number For example 902-555-5555 Email Address Business/Organization Name Contact First Name Contact Last Name Address 1 Address 2 City, Town, or Community Province Postal Code For example C1B 0X1 or 12345 Country Telephone 1 For example 902-555-5555 Telephone 2 For example 902-555-5555 Fax Number For example 902-555-5555 Email Address County - Select -PrinceQueensKings Are you 18 years of age or older? - Select -YesNo Parent/Guardian Information Provide parent or guardian contact information below if the applicant is under 18 years of age. First Name Middle Initial Last Name Email Address
