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2020 Virtual New England School of Addiction and Prevention Studies

June 1 - 4, 2020 by Videoconference

NH Bureau of Drug and Alcohol Services (BDAS) Scholarship Application

The NH Department of Health and Human Services, Bureau of Drug and Alcohol Services (BDAS) awards limited, partial scholarships to AdCare Educational Institute of New England events. Whether you are a prevention, intervention, treatment or recovery supports professional, we encourage you to apply.

BDAS scholarships cover tuition fees only. Scholarships are paid directly to AdCare Educational Institute. You, and/or your agency, are responsible for paying the remainder of program fees.

For the New England Summer School, priority will be given to:

People working in integrated services, such as behavioral health and primary care settings; including medications for addiction treatment (MAT)
People working in peer recovery supports, including recovery housing
People working in direct prevention services
Drug Free Community (DFC) Grantees
People who have not received a New England Summer School scholarship in the past 3 years
People who have not attended a New England Summer School within the past 5 years

Please use the comment area below to explain how attending the Summer School will help you to better serve people with substance use disorders and/or co-occurring disorders and how your attendance will help increase the capacity of services offered. NH BDAS will use this information to help determine scholarship awards.

Deadline for scholarship applications is May 6, 2020.

Be sure to fill out the entire application. Incomplete applications will not be considered.

The NH Alcohol and Drug Abuse Counselors Association / NH Training Institute (NHTIAD) will handle logistics for the NH scholarship process on behalf of BDAS. Once awards are determined, the NHTIAD will notify all NH applicants of their award status.

For scholarship related questions, please contact:

NHTIAD

traininginstitute@nhadaca.org
(603) 225-7060

*Scholarship funds are limited. Filling out an application is not a guarantee of award.

Scholarship Application Instructions:

Please complete the form below to be considered for a scholarship from your state agency.

Required questions are noted with a star.

After you have completed the application, click on the "CLICK HERE TO SUBMIT SCHOLARSHIP APPLICATION" button at the bottom of the page.

Please note that a scholarship application is separate from your Summer School registration.

If you have not registered for the Summer School, visit the Summer School web page and follow the registration link.

Contact Information

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Alternate Email Address

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* 5. Employer

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* 6. Street Address

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* 7. City

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* 8. State (You MUST work in NH to
apply for a NH scholarship):

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* 9. Zip Code

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* 10. Is the above address a home address or work address?

Work Address

Home Address

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* 11. Work Telephone

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* 12. Mobile Telephone

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* 13. Home Telephone (if not same as mobile phone)

About Your Job, Experience, and Professional Development

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* 14. Role - I am:

A professional working in alcohol and other drug (AOD) treatment services

A professional working in alcohol and other drug (AOD) prevention services

A person working in peer recovery support services, including recovery housing (please specify role and work setting below)

A volunteer working in the AOD and recovery field

A professional working in the Regional Public Health Network

A student enrolled in substance use disorder courses (Please specify major and college below.)

A professional working in integrated services (please specify role and location below)

A professional working in Medications for Addiction Treatment (MAT) services (please specify role below).

A Behavioral Health Clinician interested in treating gambling addiction

Other (Please specify below).

Please specify details about your role below if you are:

If you are a student, please specify university and major.

If you are working in peer recovery supports, including recovery housing please specify your role and work setting.

If working integrated services or MAT please specify your role and your work setting.

If you selected "Other" please describe your role.

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* 15. Number of years you have worked in the field:

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* 16. Title of Current Position

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* 17. Licensures or Certifications:

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* 18. Primary Focus of Your Program

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* 19. Please note how many days you plan to attend the New England Summer School:

4 Days (Full Program)

3 Days

2 Days

1 Day

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* 20. Summer School courses I plan to take.

Course Numbers and Titles are REQUIRED. Refer to the Agenda and Course Session list at http://www.cvent.com/d/snqrsy.

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* 21. Please explain how attending the Summer School will help you to better serve people with substance use disorders or co-occurring disorders and/or how your attendance will help increase the capacity of services offered. PLEASE BE SPECIFIC.

Previous Summer School Attendance and Summer School Scholarships

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* 22. Have you received a Summer School scholarship in the last 5 years? Enter years, comma separated.

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* 23. If yes, please note the entity that awarded the scholarship.

Payment Planning

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* 24. Scholarship Amount Requested:

(Please note the specific amount requested. Scholarships are partial, with the balance to be paid by the attendee and/or their employer.)

If selected, you will be responsible for ensuring payment of any remaining portion of your balance.

In many cases, partial scholarships are awarded .

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Alternate Email Address

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* 5. Employer

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* 6. Street Address

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* 7. City

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* 8. State (You MUST work in NH to apply for a NH scholarship):

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* 9. Zip Code

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* 10. Is the above address a home address or work address?

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* 11. Work Telephone

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* 12. Mobile Telephone

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* 13. Home Telephone (if not same as mobile phone)

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* 14. Role - I am:

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* 15. Number of years you have worked in the field:

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* 16. Title of Current Position

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* 17. Licensures or Certifications:

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* 18. Primary Focus of Your Program

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* 19. Please note how many days you plan to attend the New England Summer School:

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* 20. Summer School courses I plan to take.Course Numbers and Titles are REQUIRED. Refer to the Agenda and Course Session list at http://www.cvent.com/d/snqrsy.

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* 21. Please explain how attending the Summer School will help you to better serve people with substance use disorders or co-occurring disorders and/or how your attendance will help increase the capacity of services offered. PLEASE BE SPECIFIC.

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* 22. Have you received a Summer School scholarship in the last 5 years? Enter years, comma separated.

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* 23. If yes, please note the entity that awarded the scholarship.

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* 24. Scholarship Amount Requested:(Please note the specific amount requested. Scholarships are partial, with the balance to be paid by the attendee and/or their employer.)

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* 25. If you do not receive a scholarship:

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* 26. Supervisor Information

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* 27. Supervisor's Name

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* 28. Supervisor's Email

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* 29. Supervisor's Telephone

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* 30. Additional Comments:

* 8. State (You MUST work in NH to
apply for a NH scholarship):

* 20. Summer School courses I plan to take.

Course Numbers and Titles are REQUIRED. Refer to the Agenda and Course Session list at http://www.cvent.com/d/snqrsy.

* 24. Scholarship Amount Requested:

(Please note the specific amount requested. Scholarships are partial, with the balance to be paid by the attendee and/or their employer.)