Adult Scholarship Application

Information

The application for CADCA’s 36^th Annual National Leadership Forum Scholarship program is now open!
Deadline: Oct. 1

Scholarships will cover lodging (room and tax) for four nights as well as the applicable registration fee. All applications must be submitted online and must be fully completed in order to be considered. For any questions, email events@cadca.org.

Important Rules to Read:

All submitters will be notified by email to the addresses provided on the application form.
Once recipients are selected, the scholarship cannot be transferred to another individual within your coalition if the original recipient is now unable to attend.
The scholarship cannot be divided among other members of the coalition and applied to registrations rather than housing.
A scholarship from another year cannot be applied as a scholarship for this year.
A scholarship for one person in the coalition does not mean everyone at the coalition who applied also received a scholarship.
Scholarship recipients must stay for the entirety of Forum (Monday through Thursday afternoon).
The scholarship recipient will be held responsible for any expenses CADCA incurs because of failure to attend or late arrival/early departure
Recipients may be asked to assist CADCA staff during the Forum with seat drops, handing out programs, etc.
NEW! Adult scholarship recipients are required to serve as session room monitors. Each monitored session equals one (1) comped hotel night (up to four). Recipients who monitor fewer than four sessions will only receive the equivalent number of comped nights. Any remaining nights will be the responsibility of the recipient and may be charged to their room.

Notifications will be emailed out by November.

First Name
Last Name
Email
Company Name

First Name [REQUIRED]

Last Name [REQUIRED]

Applicant Job Title [REQUIRED]

Applicant Coalition or Organization Name [REQUIRED]

Address [REQUIRED]

Email Address [REQUIRED]

Are you located outside the U.S.? [REQUIRED]

Yes

If you are from outside the U.S, please enter the country

Applicant's Gender [REQUIRED]

Applicant's Ethnicity [REQUIRED]

American Indian or Alaskan Indian

Asian or Pacific Islande

Black or African American

Hispanic or Latino

White (non Hispanic)

Other (Please specify)

Are you or your organization a current CADCA member? [REQUIRED]

Yes

Have you attended CADCA's Leadership Forum in previous years? [REQUIRED]

Yes

Have you received a scholarship to a previous Mid-Year or Forum? [REQUIRED]

Failure to respond truthfully to this question will result in automatic disqualification.

Yes

What is your primary professional role? [REQUIRED]

State Prevention Leader

State Treatment/Recovery Leader

Community Prevention Leader

Community Treatment/Recovery Leader

Coalition Member

Coalition Volunteer

Student

How many years have you actively been involved in the anti-substance abuse/prevention field? [REQUIRED]

What is your coalition's/organization's primary geographic target area? [REQUIRED]

Frontier

Urban

Rural

Suburban

Provide an example of how you showcased your skills to support a recent project that your state/community coalition has/is working on? [REQUIRED]

Tell us why you should receive a scholarship for the CADCA 2025 Forum [REQUIRED]