NAAHCAD 2016

We appreciate your interest in National African American Hepatitis C Action Day 2016 and welcome you as a partner. If you have any questions, e-mail info@nblca.org.

Question Title

* 1. Our organization agrees to participate in National African American Hepatitis C Action Day 2016 (NAAHCAD) to bring attention to the community about the impact of HCV among African Americans.

Question Title

* 2. Organization Name

Question Title

* 3. Organization Information

Question Title

* 4. Type of Organization

Question Title

* 5. Annual Budget

Question Title

* 6. National African American Hep C Action Day

  Yes No
Did your organization participate in NAAHCAD in 2014?
Did your organization participate in NAAHCAD in 2015?

Question Title

* 7. Please tell us about your 2015 NAAHCAD event(s). (Check all that apply.)

Question Title

* 8. Do you need capacity building assistance?

Question Title

* 9. Population Served (Check all that apply)

Question Title

* 10. Service Demographic (Check all that apply)

Question Title

* 11. Risk (Check all that apply)

Question Title

* 12. T-shirt size (Total Qty 2)

  Qty
Medium
Large
X-Large
2X-Large
3X-Large

Question Title

* 13. Please provide details about your event.

We will be in contact soon, in the meantime, If you have any questions, please e-mail Melissa Baker at info@nblca.org. We look forward to working with you.

The National Black Leadership Commission on AIDS, Inc., (NBLCA) is a 501c3, not for profit organization with a mission to educate, mobilize, and empower Black leaders to meet the challenge of fighting HIV/AIDS and other health disparities in their local communities. Founded in 1987, and headquartered in New York City, NBLCA is the largest nonprofit organization of its kind in the United States.

T