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Interest/Volunteer Form
Winona County Alliance for Substance Abuse Prevention
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Thank you for supporting ASAP! Please provide your current contact information and tell us what you are interested in. We also ask everyone to review our safety policies since we are a youth serving organization.
What are you interested in?
*
Weekly Happenings (Local/state/national events or volunteer opportunities)
Youth Council and Youth Opportunities
Alliance Board Updates
Positive Community Norms Committee
Alcohol Committee
Tobacco Committee
Quarterly Newsletter
Youth Engagement Committee (Adult Advisory Ad Hoc)
None of the above
Required
First name
*
Your answer
Last name
*
Your answer
Email address
*
Your answer
Phone number
*
Your answer
Which best describes you?
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Student
Parent
School professional
Healthcare professional
Business community
Law Enforcement
State or local government
Substance abuse treatment provider
Faith organization
Media
Civic group
Youth-serving organization
SUPPORT: I agree to help create safe, healthy drug-free communities and not supply young people with alcohol, tobacco, or other drugs.
*
Choose
Agree
Disagree
MEDIA: I acknowledge that I may be photographed at ASAP events and agree to have images or other media used in relevant ASAP publications.
*
Choose
Agree
Disagree
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