Addiction Awareness Initiative Interest Form
The NCJA 501c(4) is dedicated to raising awareness around the Opiod Epidemic that is still devastating communities throughout America, including our North County area. The war on drugs has impacted BIPOC communities with devastating results, the school to prison pipeline weaponizes addiction abuse disorder and the need for sustained education and action through harm reduction and outreach is urgent.

Established in honor of our Founder's son, Alex Nava, and inspired by community support, the initiative will support those that need support the most and advocate for better care and awareness.

We are looking for 5 community members to work directly with the NCJA Governing Board to launch our Addiction Awareness Initiative. Our first action will be August 30 on International Overdose Day and the timeline for program development is 3 months.

This work could impact and save lives of local students and help to end the stigma of addiction.
We hope that you will take the first step with us and fill out this interest form.
Email address *
First + Last Name
Contact Information Phone + Address
Pronouns
Clear selection
Why would you like to serve the community in this capacity? Please include any talents you may have to help with this project.
How much time do you have to dedicate to this sub-committee? Remember, all schedules and variances can be worked with. Initially, time commitment would be once per week, then less frequently. Most work can be done on computer or at home with some virtual meetings or phone calls
Clear selection
Are you available for International Overdose Awareness Day August 30, 2020
Clear selection
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy