2019 New England School of Addiction Studies

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

Vermont ADAP Scholarship Application



The VT Department of Health, Division of Alcohol and Drug Abuse Programs, provides limited partial scholarship awards, with priority given to:
  • People working in Vermont’s system of care for alcohol and drug prevention, treatment, and recovery
  • People who have not received a scholarship in the past 2 years
  • People who have not attended Summer School in the past 5 years

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

Deadline for scholarship applications - Friday, April 15, 2019

Be sure to fill out the entire application.

For scholarship related questions, please contact:

Ariel Carter,
Manager of Planning & Community Services
VT Dept. of Health, Division of Alcohol & Drug Abuse Programs
Ariel.Carter@vermont.gov
802-951-5191

*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 www.neias.org
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 VT to
apply for a VT 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)

About Your Job, Experience, and Professional Development

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* 14. Job Sector

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* 15. Licensures or Certifications:

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* 16. Are you working toward certification or licensure?

Briefly comment in your interest in attending the Summer School.

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* 17. How will attending help you better serve people with substance use or co-occurring disorders?

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* 18. How will attending the Summer School help you on your career path?

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* 19. How will you use the Summer School learning experience to strengthen Vermont's system of care?

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

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* 21. I will be attending the program for:

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* 22. While attending the school, I plan to:

Previous Summer School Attendance and Summer School Scholarships

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

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* 24. Please note years that you have attended Summer School. Enter years, comma separated.

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

Payment Planning

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* 26. Scholarship Amount Requested:

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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* 27. If selected:

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* 28. Balance will be paid by:

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* 29. If you do not receive a scholarship:

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* 30. Additional Comments:

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