Application Cover Sheet Youth Engagement to Address Tobacco Related Health Disparities Grant 2026

1. Click ‘Get Form’ to open the Application Cover Sheet in our editor.
2. Begin by entering your Applicant Agency Name in the designated field. This identifies your organization and is crucial for processing your application.
3. Fill in the County/District/School Code, followed by the County name. Ensure accuracy as this information helps in categorizing your application.
4. Provide your Mailing Address, City, and Zip Code. This ensures that all correspondence regarding the grant reaches you promptly.
5. Complete the Contact Person section with their name, title, telephone number (including extension), fax number, and email address for effective communication.
6. Indicate the grade levels served by checking all applicable boxes from 6 to 12. This helps define the target audience of your program.
7. In the Certification section, ensure that a designated official signs and dates the form in blue ink to validate your application.

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