School Health Grant Application

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Allow this form to use information already in your MyPEI account to fill in fields automatically. You can review and edit everything before submitting.

Understand that personal information on this form is collected under Section 31c 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 the School Health Grant Program being delivered by the Health Promotion Unit, Chief Public Health Office. It will be used to determine eligibility for program assistance and for program management and promotions.

Identification

Enter contact details for the school in the fields below.

School Name

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

Has the project been reviewed by the Principal?

Is the contact person above also the project lead?

Project Lead

First Name

Last Name

Telephone Number

For example 902-555-5555

Email Address