2026

Registration form for IHEC Affiliate meeting.

Meeting will be held at: Heartland Community College

On: March 26, 2026

From: 9:00 AM to 3:30 PM

1500 W Raab Rd
Normal, IL 61761

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 Social Media Page Snail Mail 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: