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2019 New England School of Addiction Studies

June 3 - 6, 2019, Worcester State University, Worcester, MA

Rhode Island Department of BHDDH,
Division of Behavioral Healthcare Services, Substance Abuse Treatment & Prevention Services

Treatment and Recovery Scholarships
and
Prevention Scholarships

The Rhode Island Department of BHDDH, Division of Behavioral Healthcare Services, Substance Abuse Treatment & Prevention Services, provides limited partial scholarship awards to attend the New England Summer School.

Any remaining balance and travel are the responsibility of the participant. Scholarships are paid directly to NEIAS. You, and/or your agency, are responsible for paying the remainder of program fees.

Deadline for scholarship applications is extended to April 30, 2019.

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

For Treatment and Recovery Scholarship related questions, please contact:

Treatment and Recovery:
Lori Dorsey, LICSW, LCDCS
Dept. of BHDDH, Division of Behavioral Healthcare Services, Substance Abuse Treatment & Prevention Services
Lori.Dorsey@bhddh.ri.gov
401-462-0645
Fax: (401) 462-6636

For Prevention Scholarship related questions, please contact:

Prevention:
Elizabeth T. Farrar, CPSS
Elizabeth.farrar@bhddh.ri.gov
401-462-0644
FAX: (401) 462-0339

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

The applicant agrees to take full responsibility for submitting of school registrations to the New England Summer School. The applicant also agrees to return all scholarship money awarded if the course is not completed. Attendance at such events is monitored.

IF THE APPLICANT FINDS THAT HE/SHE CANNOT ATTEND THE TRAINING FOR ANY REASON, HE/SHE MUST CONTACT LORI DORSEY OR ELIZABETH FARRAR WITHIN FOUR (4) WEEKS OF THE EVENT SO THOSE ON THE WAITING LIST MAY HAVE THE OPPORTUNITY OF USING THE SCHOLARSHIP.

If scholarship recipients do not attend a training event and do not notify the Department of BHDDH/Division of Behavioral Healthcare Services, Substance Abuse Treatment & Prevention Services, they will not be considered for future scholarships.

In return for a partial scholarship, it is expected that you will attend all plenary sessions and all sessions for which you have registered, as well as the State Meeting on Tuesday afternoon after class.

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 <

Scholarship Category

Question Title

* 1. Please note which RIBHDDH Scholarship that you are applying for:

Treatment and Recovery - I work in treatment and recovery related services.

Prevention - I work in prevention services.

Contact Information

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* 2. First Name

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* 3. Last Name

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* 4. Email Address

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* 5. Alternate Email Address

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* 6. Employer

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* 7. Work Street Address

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* 8. Work City

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* 9. Work State (You MUST work in RI to
apply for a RI scholarship):

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* 10. Work Zip Code

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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

Question Title

* 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 professional working in mental health/co-occurring disorders treatment services

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

A state employee whose job requires knowledge of AOD services

A volunteer working in the AOD and recovery field

A representative of another profession or community with interest in learning more about AOD

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

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 selected "Other" please describe your role.

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* 15. Title of Current Position

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* 16. Length of Time Working in Substance Use Disorder Field

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* 17. Length of time in current job

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* 18. Level of Education

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* 19. Licensures or Certifications:

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* 20. Please list three major responsibilities of your current job.

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* 21. Primary Focus of Your Program

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* 22. Will you:

Stay on campus

Commute

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* 23. Number of days you will attend:

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* 24. Summer School courses I plan to take (List courses # and titles):

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* 25. Briefly comment in your interest in attending the Summer School. (Please be specific.)

Previous Summer School Attendance and Summer School Scholarships

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* 26. Years Attended Summer School:

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

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

Payment Planning

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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* 29. If selected:

If awarded a partial scholarship, I understand that I am responsible for any amount due by 6/3/19.

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* 1. Please note which RIBHDDH Scholarship that you are applying for:

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* 2. First Name

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* 3. Last Name

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* 4. Email Address

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* 5. Alternate Email Address

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* 6. Employer

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* 7. Work Street Address

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* 8. Work City

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* 9. Work State (You MUST work in RI to apply for a RI scholarship):

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* 10. Work Zip Code

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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. Title of Current Position

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* 16. Length of Time Working in Substance Use Disorder Field

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* 17. Length of time in current job

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* 18. Level of Education

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* 19. Licensures or Certifications:

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* 20. Please list three major responsibilities of your current job.

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* 21. Primary Focus of Your Program

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* 22. Will you:

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* 23. Number of days you will attend:

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* 24. Summer School courses I plan to take (List courses # and titles):

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* 25. Briefly comment in your interest in attending the Summer School. (Please be specific.)

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* 26. Years Attended Summer School:

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

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

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* 29. If selected:

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* 30. Balance will be paid by:

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* 31. If you do not receive a scholarship:

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* 32. Supervisor Information

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* 33. Supervisor's Name

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* 34. Supervisor's Email

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* 35. Supervisor's Telephone

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* 36. Additional Comments:

* 9. Work State (You MUST work in RI to
apply for a RI scholarship):