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Additional details

The Statewide Prevention Coalition Association (SPCA) strengthens Ohio’s prevention coalitions, professionals, and community champions with resources, technical assistance, training, networking opportunities, tool kits and advocacy supports. SPCA is a network comprised of more than 60 community coalitions dedicated to preventing substance misuse and promoting mental health wellness. Together, we share solutions, support and show solidarity with each other.

SPCA membership is FREE. Learn more about SPCA HERE.

Coalition Contact Information

Coalition Name

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President/Director/Chair Name

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Primary Contact Name

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Primary Contact Email

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Coalition Information

Address

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Address 2

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County (not country)

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Website

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Description

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Please confirm the following statement: I approve the above-named coalition/organization, contact information, and logo to be listed on an online director available at www.PreventionActionAlliance.org

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Coalition Focus

Which term best describes your coalition?

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What population does your coalition serve?

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If you chose "other" in question 2, please specify.

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About how many members make up your coalition?

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What is the primary focus of your coalition?

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If you chose "other" in question 5, please specify.

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Please select all topics your coalition actively engages with, including your primary focus.

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If you chose "other" in question 7, please specify.

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What are your training and technical assistance needs for the upcoming year?

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If you chose "other" in question 9, please specify.

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Which community sectors would you like to increase your coalition's engagement with?

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Workforce and Funding (Workforce and financial information is used ONLY to advocate for coalitions across Ohio and determine the cost of your coalition's CADCA membership, if necessary.)

What levels of prevention certification do you have on your staff?

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How many full time paid staff work at your coalition?

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How many part time paid staff work at your coalition?

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What organization or individual serves as your coalition's fiscal agent?

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What is your coalition's annual budget?

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Is your coalition currently a federal Drug Free Communities grantee?

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Is your coalition currently a federal STOP Act grantee?

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Does your coalition have 501(c)(3) status?

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Additional Memberships

Is your coalition a CADCA member?

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In addition to SPCA Membership, coalitions located in the Ohio-Indiana-Kentucky tri-state area (southwest Ohio), are eligible to become PreventionFIRST! member coalitions. If your coalition meets these criteria and would like to be a PreventionFIRST! member coalition, please select yes below. For more information about PreventionFIRST! coalitions, please email Amanda Conn Starner at aconnstarner@prevention-first.org

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