Register for Virtual Day On The Hill Press Conference

Midwest Counterdrug Training Center

Virtual Day On The Hill Press Conference

Thursday, February 25, 2021

Directions:

AC4C (Alliance of Coalitions for Change) will be hosting the Virtual Day on the Hill Press Conference for Substance Abuse Prevention on Thursday, February 25th, 2021. This will be a great opportunity to hear from youth and coalition representatives, and to meet legislators and provide education on the impact of substance abuse in their counties and on their constituents.

STUDENT CONTACT INFORMATION
*Required
First Name:*

Last Name:*

Position/Title/Rank:*

Phone Work: (include area code)*

Cell Phone: (include area code)*

*Note: .mil addresses are currently unable to receive confirmation emails or attachments from MCTC, please input a civilian or commercial email address below

Email Address for confirmation, event link, Course Evaluation, and Certificate
*Email Address:

AGENCY / ORGANIZATION
*Required
Agency/Organization Name:*

Agency Type:*

Agency City:*

Agency State:*

Agency Zip code:*

ADDITIONAL QUESTIONS
Are you currently a member of the US Armed Forces
(Active, Reserve, Guard, or Auxiliary)?*

Is your agency/organization a HIDTA participant?*