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2011 Volunteer Application

The deadline for receipt of volunteer applications is April 1, 2011. Successful applicants will be notified by April 15, 2011.

The Alaska Addiction Professionals Association (AAPA), formerly SADA, is pleased to announce the 36th Annual School on Addictions to be held at the Sheraton Anchorage Hotel, May 2-4, 2011.

We are seeking 18 volunteers to assist in the Annual School on Addictions and Behavioral Health. All

volunteers

will receive

a

waiver of

the fee

to

obtain

up to

22

CEU’s

(value of

$305).

Please

note

that

only the CEU’s are awarded, you will not receive a bag, or any other promotional items.

All volunteers must attend the volunteers training and assist on April 30, 2011, the Saturday before the conference.

Volunteer Applicant: ……………………………………………………………………………….

Credentials:.. …………………………………………………………………………………………

Title and Affiliation/Organization: ……...…………………………………………………………

Mailing Address: ……………………………………………………………………………………..

City/State/Zip: …………………………………………………………………………………………

Work Phone: ………………………………………………………………………………………….

Fax: …………………………………………………………………………………………………….

E-mail Address:……………………………………………………………………………………….

Why are you interested in being a volunteer?........................................................................

  • ……………………………………………………………………………………………………………

    .

  • ……………………………………………………………………………………………………………

    ..

  • ……………………………………………………………………………………………………………

    ..

  • ……………………………………………………………………………………………………………

    ..

Supervisor approval:

Supervisor Name:……………………………………………………………………………………….

Supervisor Title:…………………………………………………………………………………………

Supervisor email:………………………………………………………………………………………..

Supervisor signature:…………………………………………………………Date:….………………

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