Community Alcohol Coalition - Volunteer Application
Thank you for your interest in volunteering for the Community Alcohol Coalition (CAC). Please complete the application below. The CAC, which began in the winter of 2012, guides programs educating the community on the social and financial costs associated with underage and binge drinking. Currently, the CAC meets on the fourth Tuesday of each month, noon at MedStar St. Mary's Hospital Outpatient Pavilion, second-floor, Health Connections.
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Date *
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Referral Source (how did you hear about us)
Full Name *
Address *
Phone *
Email *
Do you represent an agency or the community? *
If you answered "agency" above, please describe.
What level of involvement are you able to give to CAC? *
In what capacity would you like to serve? *
What do you want to gain from being a member of the CAC? *
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