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

CT Faith - Based 2019 Summer School Scholarships

Deadline for scholarship applications is Wednesday, May 15, 2019.

Be sure to fill out the entire application.

For scholarship related questions, please contact:

Denise Adams

dadams@neias.org

207-621-2549

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

The New England Institute of Addiction Studies is pleased to offer a limited number of scholarships for individuals working or volunteering to Connecticut faith-based entities to the 2019 New England School of Addiction and Prevention Studies. The school will take place June 3 - 6, 2019 at Worcester State University, Worcester, MA.

The scholarships AdCare Educational Institute is offering will cover the full residential rate, which also includes meals in the campus cafeteria.

Scholarships are available to those currently working in the field of addiction and/or mental health connected to Connecticut faith - based entities, such as: faith leaders, addiction counselors, prevention professionals, outreach staff, or recovery support staff. These scholarships are funded by specially designated dollars that mandate that individuals using these funds work or volunteer in Connecticut in a faith-based entity.

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

Scholarship Application Instructions:

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.

Scholarship Category

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* 1. Are you currently employed by or serving as a volunteer with a faith-based entity located in Connecticut that has an interest in providing services focused on addressing the issue of addiction within your community?

Yes, I am a Faith-based Employee or Volunteer (ONLY employees or volunteers of CT faith-based entities are eligible to apply.) *

No. (Not eligible to apply for this scholarship.)

If Yes, Name the Faith-Based Employer/Entity *

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 or volunteer in CT to
apply for a CT Faith-Based 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. Title of Current Position

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* 15. Organization or Faith Community:

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* 16. My organization is:

Currently providing addiction services

Interested in addressing addiction

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* 17. Briefly describe your job duties:

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

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* 19. Length of time in current job

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* 20. Level of Education

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* 21. Licensures or Certifications:

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

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* 23. Primary Focus of Your Program

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* 24. Will you:

Stay on campus

Commute

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* 25. Number of days you will attend:

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

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* 27. There are many courses that you may attend. (View the Summer School / Courses link for further course details.) These courses range from introductory to advanced. Please answer (1) what you hope to gain from attending this school and (2) how you will use the information in your work in the faith-based community. (Please be specific.)

Previous Summer School Attendance and Summer School Scholarships

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* 28. Please note which years you have attended the New England Summer School:

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

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* 1. Are you currently employed by or serving as a volunteer with a faith-based entity located in Connecticut that has an interest in providing services focused on addressing the issue of addiction within your community?

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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 or volunteer in CT to apply for a CT Faith-Based 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. Title of Current Position

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* 15. Organization or Faith Community:

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* 16. My organization is:

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* 17. Briefly describe your job duties:

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

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* 19. Length of time in current job

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* 20. Level of Education

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* 21. Licensures or Certifications:

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

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* 23. Primary Focus of Your Program

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* 24. Will you:

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* 25. Number of days you will attend:

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

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* 28. Please note which years you have attended the New England Summer School:

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

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

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* 31. If you do not receive a scholarship:

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* 32. Additional Comments:

* 9. Work State (You MUST work or volunteer in CT to
apply for a CT Faith-Based scholarship):