RHA of TN's Board of Directors will meet
July 21st 3-6pm Central
July 22nd 8am - 2pm Central

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1. Name

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2. Do you live/work in a rural Appalachia community?

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3. What is your street address and zip code?

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4. What is the name of your local Prevention Coalition?

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5. Provide a short statement on the focus of your prevention coalition (community need) and your interest in attending the 2021 annual conference.

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6. Do you agree to participate in the peer learning community with other scholarship recipients?

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7. Email address

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