Take Back Event Application
OPEN has limited scholarships available for organizations in financial need that are hosting events in high-impact Michigan counties. Apply for financial support from OPEN for the next DEA National Drug Take Back Day.  Contact us at OPEN-support@med.umich.edu with questions. Thank you!
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Name of primary contact person: *
Email address of primary contact: *
Phone number of primary contact:
Organization name:
Organization address:
Name of the law enforcement agency you are partnering with:
Where do you plan on hosting a Take Back Event? County in Michigan.
Where do you plan on hosting a Take Back Event? Address of venue.
Why is it important for your organization to have financial support to host a Take Back Event? What unmet needs will this opportunity help address?
Do you have any additional comments/questions for us? 
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