POWER Program Application Form
Thank you for your interest in being part of the POWER series! We are excited to collaborate with you on an event to bring the Ashland community together.

The mission of the POWER series is to be the unified voice for prevention in Ashland.

We are a partnership of organizations, schools, and municipal departments in Ashland offering community-wide education programs that provide strategies, skills, and answers for compelling questions to support the health and well-being of Ashland children and teens.  We provide programs focused on substance use/misuse prevention, behavioral health promotion, physical health promotion, and community connectedness. These programs give community members valuable tools for helping themselves and others live healthier, happier lives, and to bring the whole community together.

Benefits of the POWER Programs include:
~ Building new community partnerships in and around Ashland
~ Expanding outreach to new audiences
~ Increasing awareness of programming offerings through expanded marketing
~ Centralizing community program information for Ashland residents
~ Use of POWER logo and merchandise for program hosts

We ask that proposed POWER Programs reflect our mission, and uphold the general prevention principles that engage and empower individuals and communities to choose healthy behaviors. Applicants that are accepted as a POWER Program are responsible for the planning, logistics, costs, and implementation of their event.  Accepted POWER Programs will be given access to the POWER logo and will be expected to use the logo in all marketing and communications.

In order to determine if your event fits the mission of the POWER series, please complete the items below.
Sign in to Google to save your progress. Learn more
Your name
Email
Phone number
Organization
Program description
Please choose the key themes of the POWER series you feel your event includes
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy