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Consumer and Organizational Agreement – Regional Training

As a part of my application for a Consumer Subsidy for the MAT&R Training in Portland, OR on September 16 and 17, 2019; I agree to the following:

Consumer Utilizing Consumer Subsidy:

  1. I understand that there are certain expectations that come with this Consumer Subsidy; including but not limited to, full participation in the training and sobriety during workshops.
  2. If any part of the training is a challenge for me at any time, I agree to contact a Council staff person or someone from my health center to seek assistance.
  3. I have read and fully understand the Consumer Subsidy application and requirements.

HCH Organization Representative:

  1. I agree to be responsible for all reservations related to travel for the training.
  2. I will ensure that the consumer(s) have the necessary funds to pay out-of-pocket travel expenses on their way to the training.
  3. To the best of my knowledge, the consumer I am recommending can represent my organization and its CAB well and fully participate in all conference activities.
  4. I have read and fully understand the Consumer Subsidy application and requirements.

Topical Training Consumer Subsidy Application Form

  • A limited number of consumer subsidies will be available. For selection purposes, please describe why you are engaged with your local CAB or Board of Directors, and what you hope to learn at this training to take back with you. (in under 300 words)
  • Please include the last 4 digits of your Social Security number to sign.
  • Please include the last 4 digits of your Social Security number to sign.
  • This field is for validation purposes and should be left unchanged.

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