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Collegiate Recovery Program Interest Form
The Collegiate Recovery Program at the University of California San Diego (UCSD) provides a safe space and supportive community for students in recovery, seeking recovery from addiction, or sober-curious/looking to learn new patterns. Students at any stage of recovery and at any point in their academic journeys (undergraduate and graduate) are welcome.
Help us connect with you! CRP at UC San Diego does not share your information with anyone else or any campus entity. For more information, please email Andy at
collegiaterecovery@health.ucsd.edu
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Name
*
Your answer
UCSD Email
*
Your answer
Pronouns
Your answer
Gender
*
Man
Woman
X/Non-Binary
Prefer not to answer
Required
Anticipated Graduation Year
*
Your answer
What is your classification level?
*
Choose
Undergraduate
Graduate
Professional
What are your goals in joining CRP?
Ex: learn about recovery, be an ally, support my recovery, get into recovery, meet new people, learn new patterns.
Your answer
Please enter any other relevant information that would be helpful for us to support you.
Your answer
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