Affiliate Meeting Registration for 3/28/24

Registration form for IHEC Affiliate meeting.

Meeting will be held at: Lewis & Clark Community College in Godfrey, IL.

On: March 28, 2024

From: 9:00 AM to 3:30 PM

5800 Godfrey Road
Godfrey, IL 62035

Funded in whole or in part by the Illinois Department of Human Services, Division of Substance Use Prevention & Recovery through a grant from the Substance Abuse and Mental Health Services Administration.

Date of Registration Date of Registration * / MM / DD YYYY
Name Name * First Last
Title
Campus or Agency *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone * - ### - ### ####
Email *
How did you learn about this meeting? *

How did you learn about this meeting? IHEC ListServ IHEC WebSite IAODAPCA WebSite IHEC Facebook Page Other
Other (if indicated above)
Will you be bringing anyone with you? If so, who?
Topics or Issues you would like to see discussed at this or future meetings: *