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Recovery Support Scholarship Application
The National Coalition Against Prescription Drug Abuse (NCAPDA) is currently providing Recovery Support Scholarships to applicants who need financial support to access substance use disorder recovery services. We will consider all applications and determine what monetary level of support we can provide based on need and
available funds.

Applicants must be residents of North Carolina, but the scholarship funds may be used outside of that state on an approved basis. Our Scholarship Committee will determine whether funds will be distributed directly to the applicant or paid directly to a service provider on an individual case basis.

Please note that interviews with our Scholarship Committee will be scheduled with applicants who potentially qualify for a scholarship based on information provided in this application.

Please provide the following information. If you don’t currently have a phone or access to e-mail, please identify an alternate contact and their phone number and/or e-mail address we can reach you through.

Applications can also be submitted as follows:
E-mail: Subject Line: Recovery Scholarship Application
Fax: 925-901-1250
Mail: NCAPDA P.O. Box 87, San Ramon, CA 94583
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Email *
Applicant Name *
Applicant Phone Number *
Applicant E-mail Address *
Alternate Contact''s Name
Alternate Contact's  Phone Number
Alternate Contact's E-mail Address
Scholarship Amount Requested *
Indicate For What Specific Purpose the Scholarship Will be Used (e.g. treatment, recovery, transportation to treatment, transitional housing, etc.) *
Do You Need Help Finding a Detox, Treatment, Recovery or Transitional Housing Program or Facility?   *
Important: Scholarships are only available to residents of North Carolina. I certify that I am a resident of North Carolina. *
A copy of your responses will be emailed to the address you provided.
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