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Youth Substance Use: Risk, Resilience, Reconnection Scholarship Application Form
This is an opportunity for a Peer Support Partner to receive a sponsorship to the Youth Substance Use: Risk, Resilience, Reconnection Conference in San Diego, CA on May 28, 2020. Scholarship recipients will have their registration fee, parking, and meal costs waived. The application process closes April 20, 2020. Scholarship recipients will be contacted by May 8, 2020.
Email address *
Name *
Your answer
Address *
Your answer
Phone *
Your answer
Are you currently employed as a Family, Parent, or Youth Support Partner? *
If yes, what is your program name? *
Your answer
Job title *
Your answer
Supervisor name *
Your answer
How did you find out about this scholarship opportunity? *
Your answer
How do you intend to use the information from this conference, and/or how ill you give back to the community? *
Your answer
Would you like to speak with a Family/Youth Partner before attending the conference? Contact County of San Diego, Children, Youth, and Families Liaison at (858) 987-2980 or CYFLiaison@NAMISD.org. If you prefer for the Liaison to contact you prior to attending, please share your preferred contact information. *
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