2024 Jim Hearn Scholarship Application

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WVAAPP Board takes pride in recognizing and awarding outstanding commitment and dedication in the field of addiction treatment, prevention and recovery. Membership is not required but is taken into consideration. Only members in good standing in the association are eligible to make nominations for the scholarships.

The Jim Hearn Scholarship is intended to support an individual's attendance at the annual conference. The following are considerations for the award:

1. If employed, the individual must be in the provision of direct services.

2. Consideration will be given to individuals in the process of obtaining certification or pursuing a degree in the addiction profession.

3. Consideration will be given to the financial need of the nominee in furthering their education in the addiction profession.

4. Consideration will be given to Association members.

Applicants for this award have the option to request:

1. Lodging - Lodging is double occupancy-this means if you are selected to receive a lodging scholarship that you will be assigned a same sex roommate; once the scholarship is accepted no changes are permitted

2. Registration fees which includes meals/breaks that are included with the conference

3. You may request both, lodging and registration

Travel and any incidental expenses are not covered; lodging will be billed to the master account but you may be required to provide a credit or debit card upon check in.

We do ask that scholarship recipients agree to volunteer to help at the conference. This may include assisting at the registration area, monitoring sessions, assisting with set up and end of conference clean up.

Individuals who have received this scholarship in the last 5 years are not eligible.

Email *

Your Name *

Your phone number *

Verify that you are a member of WVAAPP in good standing. Only current WVAAPP members may nominate someone for a scholarship. The recipient does not have to be a member however consideration is give to members. *

Yes

Name of person you are nominating *

Email of person you are nominating *

Phone number of person you are nominating *

Is the person you are nominating a WVAAPP Member *

Yes

Unsure

Please describe in detail why the person you are nominating should be considered for this award and how they meet the criteria or embody the "spirit" of the award based upon the award description in the section above. Please be thorough and give specific examples if applicable. *

Please indicate all that you are requesting

Registration Fee Only (Registration fee includes conference meals)

Lodging Only (based on double occupancy-you will have a roommate-private rooms are not an option) If you are requesting lodging please select dates below.

Both, Registration & Lodging

Clear selection

If you are requesting lodging please indicate which night(s)

Tuesday July 23

Wednesday July 24

A copy of your responses will be emailed to the address you provided.

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