Nomination Application For Grassroots Table Exhibit

There will be a limited number of exhibit tables available for small, grassroots organizations.

Any Certified Associate may request an exhibit table on behalf of a small, grassroots organizations that may not be able to afford a full sponsorship.
Requests for free exhibit tables that do not come from Associates will not be accepted.

All requests must be approved by the ORH Conference Planning Committee in advance.

There will be no fee for the exhibit table, but any person who will staff the table during the conference needs to register and pay the conference fees.

Examples of a small, grassroots organization includes, but is not limited to local coalitions or collaborations in which you participate as a recovery housing operator, small organizations which provide recovery related services for your residents, or other organizations that are supportive of your recovery house or your residents.

Applications will be accepted until February 1, 2019.

Question Title

* 1. Contact Information for Nominator

Name

Organization

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Contact Information for Nominee

Name

Organization

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 3. Please provide a short description of the organization you are nominating.

Question Title

* 4. Please provide a short paragraph on why you feel this organization should be represented at the Ohio Recovery Housing 2019 Annual Conference.

Question Title

* 5. Please attach a link to the website of the organization you are nominating.

Question Title

* 6. Is the person filling out this application an ORH-certified associate?

Yes