CAC Application for Conference Attendance and Registration
Application deadline: (Monday) March 30th, 2026

The Kansas Consumer Advisory Council for Adult Mental Health, Inc. (CAC) has received funding from a KDADS (KS Dept of Aging and Disability Services) contract that will allow the CAC to provide financial assistance to Kansas consumers. Priority for scholarships will be given to those who will be first time attendees, or who live in an area where there are currently no existing Consumer Run Organizations or support groups and demonstrate a financial need in order to participate in the Annual Recovery Conference. The purpose of this funding is to foster the transformation of mental health care to focus on recovery.

Please Note: To be eligible for this funding, a completed application must be received on or before the deadline of (MONDAY) MARCH 30th, 2026.

Conference information is available at www.kansascac.org

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* 1. Name

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* 2. Organization/Agency

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* 3. Address

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* 4. Phone

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* 5. Alternate Phone Number

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* 7. Emergency Contact - Name

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* 8. Emergency Contact - Relationship to you

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* 9. Emergency Contact - Phone Number

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* 10. Emergency Contact - Alternate Phone Number

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* 11. Emergency Contact - Address

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* 12. Have you attended the Recovery Conference in the past?

Please provide the review committee with your answers to the following questions. Do not put your name or identifying information in the responses.

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* 13. Why do you want to attend this conference?

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* 14. How will you share information obtained at this conference with local or statewide consumer groups?

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* 15. What are the specific issues, related to mental health, in which you are most interested?

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* 16. Are you currently involved with any related programs or activities? If yes, please describe.

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* 17. Please provide at least one letter of recommendation (that can show support for financial need) with your completed application. CAC Board of Directors and Staff are ineligible to provide letters of support!

Conference Attendance and Registration Conditions

Please note that to be eligible for this opportunity, you must be a person having lived experience with a mental illness. If you are selected as a recipient, the Executive Director (upon notification) will contact you by (Friday) April 10th, 2026. Funding will cover the conference registration fee, one t-shirt and hotel fee for one night (based on double occupancy – you will have a roommate who will also be a scholarship recipient).

As a conference attendee recipient, you will be asked to do (or be aware of) the following.

  1. Submit a 2 to 5 page report to CAC, in a format provided, within 2 weeks of the conclusion of the conference. Your report will be summarized and shared with CAC Board of Directors and others, such as KDADS, GBHSPC, SAMHSA, the sponsoring conference organization, and others.
  2. Submit a completed evaluation form within 2 weeks of the conclusion of the conference. The form will be provided.
  3. Share a room with another scholarship recipient during the conference.
  4. Agree to have your name and contact information shared with the CAC.
  5. Inform the CAC Executive Director, as soon as possible, if you are unable to attend the conference or will be delayed in meeting any of the above conditions.
Please note that in order to be considered for this scholarship, your completed application must be received by CAC on or before the deadline of (MONDAY) MARCH 30th, 2026.
Additional Registration Information

The following information will be used for those who are selected as a scholarship recipient

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* 18. T-Shirt Size (available sizes are Small-6X)

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* 19. Food Allergies / Special Dietary Requirements – list any additional special requirements you have below (i.e. allergies, vegetarian or vegan meals, etc – please note if the request is due to a food allergy. We will make every effort to accommodate reasonable requests but cannot make any guarantees)

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* 20. Will you be bringing a service animal to the conference?

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* 21. Please note any special accommodations needed (i.e. handicap accessible room, private room, materials in an alternative format, etc. – the Kansas CAC will make every effort to accommodate reasonable requests but cannot make any guarantees)

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* 22. Please sign by typing your name here

Special Accommodations: If you wish to volunteer information regarding any special assistance you may need, please contact Melissa Patrick at (316) 312-3479.

Notice of Nondiscrimination: The Kansas Consumer for Adult Mental Health, Inc. does not discriminate in its programs and activities on the basis of race, religion, color, national origin, gender, age, sexual orientation, marital status, political affiliation, status as a veteran, genetic information or disability. The following person has been designated to handle inquiries regarding nondiscrimination policies: Melissa Patrick, (316) 312.3479.

This conference was made possible through a grant from the Kansas Department for Aging and Disability Services

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