Apply for SunSmart Status Online Form

Apply for SunSmart Status Online Form
Are you applying for the SunSmart school program or completing your 3 year review?*

About Your Setting
ACT primary school and early childhood settings offer excellent opportunities to combat skin cancer here in the ACT and play an important role in reducing future skin cancer incidence and mortality rates in Canberra.
Name of School or Centre*
Overarching Organisation (if applicable)
Organisation Type*
Number of Students*
School or Centre Street Address*
City*
State*
Postal Code*
School or Centre Phone Number*
Please enter a valid phone number.
Principal or Director First Name*
Principal or Director Last Name*
Principal or Director Email*
example@example.com
Best SunSmart Contact First Name*
Best SunSmart Contact Last Name*
Best SunSmart Contact Email*
example@example.com
Best SunSmart Contact Phone Number*
Please enter a valid phone number.

A masterclass is a free 45-60 minute presentation at your school/centre about UV protection.
Would you like to arrange a free UV Masterclass session for your staff and/or school/centre community?*
Does your school/centre have a Sun (UV) protection policy in place? *
Please upload your School/ Centre UV Protection Policy (if applicable)

Cancelof
Please list email addresses you would like added to the SunSmart Quarterly Newsletter mailing list, separated by commas.
Your school’s details will only be used to provide you with information and resources relating to Cancer Council’s National SunSmart Schools Program. All contact information received by Cancer Council ACT will be kept confidential and stored securely.
Should be Empty: