FY27 ORF Application Reviewer Interest Form

Please complete this form if you are interested in serving as a volunteer application reviewer for the FY27 Howard County Opioid Restitution Fund grant opportunity. The FY27 grant opportunity will require grant reviewers from late April 2026 through late May/ early June 2026. Reviewers will be asked to review no more than five applications.

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1. Name (Required.)

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2. Organization or government agency affiliation (if applicable)

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3. Email address (Required.)

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4. Phone (Required.)

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5. Availability (check all that apply) (Required.)

Available for FY27 review period (late April 2026 through late May 2026)

Available for future application reviews

I do not have the ability to serve as a reviewer at this time

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6. Do you live or work in Howard County, Maryland? (Required.)

Yes

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7. Do you identify as having lived or living experience related to substance use? (Required.)

Yes

Prefer not to answer

Other (please specify)

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8. Please disclose any potential conflicts of interest
Conflict of interest is defined here as a situation in which you, a family member, or other close collaborator stands to potentially benefit in some way, whether financially, personally, or professionally from a decision made about which organization should be awarded or not awarded funds.

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9. Please indicate any particular areas of expertise (Required.)

Adolescent behavioral health

Aging population

Children and family-focused needs and resources

Communications, including public health messaging

Criminal legal system

Disability services

Financial management or accounting

Grant management or grant-making

Harm reduction

Healthcare delivery

Housing and/or homelessness prevention

Human services

Mental health conditions and/or services

Nonprofit management best practices

Overdose prevention and response

Program or project management (including health and human services)

Prevention of substance use disorder

Public health

Public safety/ law enforcement

Recovery community, services, housing, or other supports

Social service systems, including child protective services

Treatment for substance use disorder

Veteran and military needs/services

Other relevant expertise (please specify)

FY27 ORF Application Reviewer Interest Form

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1. Name (Required.)

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2. Organization or government agency affiliation (if applicable)

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3. Email address (Required.)

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4. Phone (Required.)

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5. Availability (check all that apply) (Required.)

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6. Do you live or work in Howard County, Maryland? (Required.)

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7. Do you identify as having lived or living experience related to substance use? (Required.)

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9. Please indicate any particular areas of expertise (Required.)

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10. Is there anything else you'd like to share about your relevant professional and/or personal experience that might be helpful for us to know?

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11. Optional: Upload your resume

FY27 ORF Application Reviewer Interest Form

Question Title

* 1. Name (Required.)

Question Title

* 2. Organization or government agency affiliation (if applicable)

Question Title

* 3. Email address (Required.)

Question Title

* 4. Phone (Required.)

Question Title

* 5. Availability (check all that apply) (Required.)

Question Title

* 6. Do you live or work in Howard County, Maryland? (Required.)

Question Title

* 7. Do you identify as having lived or living experience related to substance use? (Required.)

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* 9. Please indicate any particular areas of expertise (Required.)

Question Title

* 10. Is there anything else you'd like to share about your relevant professional and/or personal experience that might be helpful for us to know?

Question Title

* 11. Optional: Upload your resume

1. Name (Required.)

2. Organization or government agency affiliation (if applicable)

3. Email address (Required.)

4. Phone (Required.)

5. Availability (check all that apply) (Required.)

6. Do you live or work in Howard County, Maryland? (Required.)

7. Do you identify as having lived or living experience related to substance use? (Required.)

9. Please indicate any particular areas of expertise (Required.)

10. Is there anything else you'd like to share about your relevant professional and/or personal experience that might be helpful for us to know?

11. Optional: Upload your resume