Conference Scholarship Application

RHA of TN's Board of Directors will meet
July 21st 3-6pm Central
July 22nd 8am - 2pm Central
1.Name
2.Do you live/work in a rural Appalachia community?
3.What is your street address and zip code?
4.What is the name of your local Prevention Coalition?
5.Provide a short statement on the focus of your prevention coalition (community need) and your interest in attending the 2021 annual conference.
6.Do you agree to participate in the peer learning community with other scholarship recipients?
7.Email address
Current Progress,
0 of 7 answered