Skip survey header

SAPCA Membership Form

Mission: To engage diverse sectors of the community in collaborative, cross-cultural and comprehensive substance abuse prevention efforts that result in a reduction of underage substance use and abuse in the City of Alexandria.

Goals: (1) Establish and strengthen collaboration among communities, nonprofit agencies, and federal, state, local, and tribal governments to support the efforts of community coalitions to prevent and reduce substance use among youth. (2) Reduce substance abuse among youth and, over time, among adults by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse.
 
Applicant Information:
This question requires a valid date format of MM/DD/YYYY.
calendar
This question requires a valid email address.
Mark the ONE category that best describes the area you represent: *This question is required.
Areas of Interest: *This question is required.
I agree to serve as an active member of the Substance Abuse Prevention Coalition of Alexandria

As an active member of SAPCA, I agree to help SAPCA by doing one or more of the following:
  • Involving youth in decision making, discussions and programming
  • Working to create opportunities for youth development
  • Serving as an advocate and partner for SAPCA and its policies
  • Participating in one of SAPCA’s Workgroups